| Portage Physician Practices Inc | |
|
56720 Calumet Ave Ste B Calumet MI 49913-1967 | |
| (906) 481-8952 | |
| (906) 337-4049 |
| Full Name | Portage Physician Practices Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 56720 Calumet Ave Ste B, Calumet, Michigan |
| Authorized Official Name and Position | Monica Bowman (PRESIDENT) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Portage Physician Practices Inc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Portage Physician Practices Inc 56720 Calumet Ave Ste B Calumet MI 49913-1967 Ph: (906) 481-8952 |
| NPI Number | 1164106910 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 10/12/2023 |
| Medicare PECOS PAC ID | 6103053509 |
|---|---|
| Medicare Enrollment ID | O20231018001783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164106910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Upper Great Lakes Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 56720 Calumet Ave, Calumet, MI 49913 Phone: 906-483-1177 Fax: 906-372-3230 | |
Keweenaw Holistic Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56611 Calumet Ave, Calumet, MI 49913 Phone: 906-337-1844 | |
Upper Great Lakes Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 52125 Industrial Dr, Calumet, MI 49913 Phone: 906-483-1705 Fax: 906-372-3230 |