Organization
PORTAGE HEARING SERVICES
Active
Organization
PORTAGE HEARING SERVICES
Active
Parent organization
PORTAGE HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTAGE HEALTH
Authorized official
NANCY LYNN REED MA CCCA (AUDIOLOGIST)
(906) 483-1455
Entity
Organization
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1455
(906) 483-1457
Mailing address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1455
(906) 483-1457
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
1601000364
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540C102750
BLUE CROSS
MI
05
—
905257894
—
MI
01
—
NR000364
BLUE CROSS
MI
Enumeration date
06/25/2008
Last updated
12/21/2009
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