Organization
PORTAGE HEALTH CENTER OCCUPATIONAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MYBECK (DIRECTOR OF MANAGED CARE)
(219) 392-7064
Entity
Organization
Contact information
Practice address
3545 ARBOR BLVD, PORTAGE, IN 46368-4297
(219) 759-4604
(219) 759-4604
Mailing address
3545 ARBOR BLVD, PORTAGE, IN 46368-4297
(219) 759-4604
(219) 759-4604
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2010
Last updated
07/11/2024
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