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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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