# PORTAGE PHYSICIAN PRACTICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619304615
- **Authorized official:** MONICA BOWMAN (PRESIDENT)
- **Authorized official phone:** (615) 920-7000

## Contact information

- **Practice address:** 600 MACINNES DR, HOUGHTON, MI 49931-1144
- **Practice address phone:** (906) 483-1860
- **Practice address fax:** (906) 483-1815
- **Mailing address:** 103 POWELL CT, BRENTWOOD, TN 37027-5079
- **Mailing address phone:** (615) 372-8500
- **Mailing address fax:** (615) 372-8572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2013
- **Last updated:** 02/07/2023