PORTAGE HEALTH EXPRESS CARE – NPI #1013247972
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

PORTAGE HEALTH EXPRESS CARE is a provider located in HOUGHTON, MI. NPPES has assigned the NPI number 1013247972 to PORTAGE HEALTH EXPRESS CARE on December 28, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PORTAGE HEALTH EXPRESS CARE” is a dba name, the actual legal business name for this organization is PORTAGE HEALTH INC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 16 years ago on Apr 06, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PORTAGE HEALTH EXPRESS CARE below.

NPI Profile for
PORTAGE HEALTH INC

NPI Number
1013247972
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PORTAGE HEALTH INC
Doing Business As (dba): PORTAGE HEALTH EXPRESS CARE
Primary location
921 W SHARON AVE.
HOUGHTON, MI 49931
Phone: (906) 483-1000 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES BOGAN
CEO
Phone: (906) 483-1500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
MI 310020

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.