Organization
PORTER HEALTH SERVICES
Active
Other names
Portage Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL HAMMOND (CFO)
(219) 364-3660
Entity
Organization
Contact information
Practice address
3630 WILLOWCREEK RD, PORTAGE, IN 46368-5075
(219) 759-5791
(219) 759-3807
Mailing address
26700 BROOKPARK ROAD EXT, SUITE 1, NORTH OLMSTED, OH 44070-3124
(800) 611-6912
(440) 716-1605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/28/2006
Last updated
09/11/2025
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