PORTAGE PHYSICIAN PRACTICES INC NPI 1164106910

NPI Information

  • NPI: 1164106910
  • Provider Name: PORTAGE PHYSICIAN PRACTICES INC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: UP MEDICAL GROUP - PORTAGE EXPRESS CARE
  • CLIA Number: 23D2077796
  • Address: 56720 CALUMET AVE STE B
    CALUMET, MI
    ZIP 49913
  • Phone: (906) 481-8952

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NPI Details

PORTAGE PHYSICIAN PRACTICES INC is a rural health clinic center in Calumet, MI. PORTAGE PHYSICIAN PRACTICES INC NPI is 1164106910. The provider is registered as an organization entity type.
The provider Is Doing Business As Up Medical Group - Portage Express Care.

The provider's business location address is:

56720 CALUMET AVE STE B
CALUMET, MI
ZIP 49913-967
Phone: (906) 481-8952
Fax: (906) 337-4049

The provider's authorized official is Monica Bowman .
The authorized official title is President and has the following contact phone number (615) 920-7000.

The CLIA number assigned to this NPI record is 23D2077796 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2023 and was last updated on 10/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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