| Marram Health Center Portage | |
|
3176 Lancer St Ste B Portage IN 46368-4408 | |
| (219) 806-3000 | |
| Not Available |
| Full Name | Marram Health Center Portage |
|---|---|
| Speciality | Clinic/Center |
| Location | 3176 Lancer St Ste B, Portage, Indiana |
| Authorized Official Name and Position | Kate Sanders (VICE PRESIDENT OF ADMINISTRATION) |
| Authorized Official Contact | 2194764664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marram Health Center Portage 601 Wall St Valparaiso IN 46383-2512 Ph: (219) 531-3500 | Marram Health Center Portage 3176 Lancer St Ste B Portage IN 46368-4408 Ph: (219) 806-3000 |
| NPI Number | 1588301899 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 07/07/2022 |
| Medicare PECOS PAC ID | 1951293554 |
|---|---|
| Medicare Enrollment ID | O20220729001833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588301899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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