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PORTAGE HEALTH CENTER OCCUPATIONAL HEALTH
NPI 1104157064
Clinic/Center - Occupational Medicine in Portage, IN

Active since January 15, 2010
3545 ARBOR BLVD, PORTAGE, IN 46368(219) 759-4604(219) 759-4604 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Occupational Medicine

About PORTAGE HEALTH CENTER OCCUPATIONAL HEALTH

This page provides the complete NPI Profile along with additional information for Portage Health Center Occupational Health, a provider established in Portage, Indiana operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1104157064 assigned on January 2010. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Kevin Mybeck (Director Of Managed Care)

NPI
1104157064 Verify this NPI
Provider Name
PORTAGE HEALTH CENTER OCCUPATIONAL HEALTH
Entity Type
Organization
Location Address
3545 ARBOR BLVD PORTAGE, IN 46368
Location Phone
(219) 759-4604
Location Fax
(219) 759-4604
Mailing Address
3545 ARBOR BLVD PORTAGE, IN 46368
Mailing Phone
(219) 759-4604
Mailing Fax
(219) 759-4604
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2010
Last Update Date
07-11-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KEVIN MYBECK

Authorized Official Title
DIRECTOR OF MANAGED CARE
Authorized Official Phone
(219) 392-7064

Reviews for PORTAGE HEALTH CENTER OCCUPATIONAL HEALTH

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

MEGHAN GORANSON PTA
Physical Therapy Assistant
3545 ARBOR BLVD
PORTAGE, IN 46368
Porter County (219) 947-6729
TRAVIS HALDEMAN D.O.
Obstetrics & Gynecology
3545 ARBOR BLVD
PORTAGE, IN 46368
Porter County (708) 636-9205

Frequently Asked Questions

What is PORTAGE HEALTH CENTER OCCUPATIONAL HEALTH's NPI number?

The NPI number assigned to this healthcare provider is 1104157064, enumerated as an "organization" on January 15, 2010.

Where is the provider located?

The provider is located at 3545 ARBOR BLVD PORTAGE, IN 46368 and the phone number is (219) 759-4604.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.