Organization
IONIA COUNTY MEMORIAL HOSPITAL
Active
Parent organization
IONIA COUNTY MEMORIAL HOSPITAL
Other names
FHC-PORTLAND RHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IONIA COUNTY MEMORIAL HOSPITAL
Authorized official
MR. WILLIAM ROESER (CEO)
(616) 523-1400
Entity
Organization
Contact information
Practice address
9751 E GRAND RIVER AVE, PORTLAND, MI 48875-9774
(517) 647-6722
(517) 647-6838
Mailing address
9751 E GRAND RIVER AVE, PORTLAND, MI 48875-9774
(517) 647-6722
(517) 647-6838
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
340021
MI
Other
Enumeration date
12/16/2008
Last updated
08/31/2010
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