Organization
PORTAGE HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF SERAPHINE (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1128
(906) 483-1122
Mailing address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1128
(906) 483-1122
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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