Portage Physician Practices Inc | |
600 Macinnes Dr Houghton MI 49931-1144 | |
(906) 483-1860 | |
(906) 483-1815 |
Full Name | Portage Physician Practices Inc |
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Speciality | Clinic/center - Rural Health |
Location | 600 Macinnes Dr, Houghton, Michigan |
Authorized Official Name and Position | Monica Bowman (PRESIDENT) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Portage Physician Practices Inc 103 Powell Ct Brentwood TN 37027-5079 Ph: (615) 372-8500 | Portage Physician Practices Inc 600 Macinnes Dr Houghton MI 49931-1144 Ph: (906) 483-1860 |
NPI Number | 1619304615 |
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Provider Enumeration Date | 10/04/2013 |
Last Update Date | 02/07/2023 |
Identifier | Type | State | Issuer |
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1619304615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Upper Great Lakes Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 W Sharon Ave, Houghton, MI 49931 Phone: 906-346-9667 Fax: 906-346-9113 | |