1. Home
  2. Directory
  3. Michigan
  4. Houghton
  5. Clinic Center
  6. NPI Profile

UP MEDICAL GROUP - PORTAGE EXPRESS CARE
NPI 1376229419
Clinic/Center - Rural Health in Houghton, MI

Active since June 23, 2023CLIA 23D2077798 · Waiver
921 W SHARON AVE, HOUGHTON, MI 49931(906) 483-1777(906) 483-4616 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Up Medical Group - Portage Express Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UP MEDICAL GROUP - PORTAGE EXPRESS CARE (NPI 1376229419) is a healthcare organization registered as a rural health in Houghton, Michigan and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through May 14, 2028 and lists Monica Bowman, President, as its authorized official.

NPPES Registry Identity

NPI1376229419
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePORTAGE PHYSICIAN PRACTICES INC
Location Address921 W SHARON AVEHoughton, MI 49931-1921
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775
Phone(906) 483-1777
Fax(906) 483-4616
Organization SubpartNo
Authorized OfficialMonica BowmanPresident · (615) 920-7208
Enumeration DateJune 23, 2023
NPPES CertifiedJune 23, 2023
✔ NPI 1376229419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
921 W SHARON AVE, Houghton, MI 49931
Open in Google Maps ↗

Other Names 1

Doing Business AsUp Medical Group - Portage Express Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2077798

Portage Physician Practices, Inc Dba Up Medical Group- Portage Express Care · Houghton, MI
Active · expires May 14, 2028
CLIA Number23D2077798
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorPetio V. Kotov
Laboratory Phone(906) 483-1435
Laboratory LocationPortage Physician Practices, Inc Dba Up Medical Group- Portage Express Care921 W Sharon Avenue, Houghton, MI 49931
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER SMITH FNP
Nurse Practitioner
921 W SHARON AVE
HOUGHTON, MI 49931
Houghton County (906) 483-1777
UPPER GREAT LAKES FAMILY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
921 W SHARON AVE
HOUGHTON, MI 49931
Houghton County (906) 346-9667
PORTAGE PHYSICIAN PRACTICES INC.
Family Medicine
921 W SHARON AVE
HOUGHTON, MI 49931
Houghton County (906) 483-1777
SHANNON ISAACSON PA-C
Physician Assistant
921 W SHARON AVE
HOUGHTON, MI 49931
Houghton County (906) 483-1777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portage Physician Practices Inc's NPI number?

The NPI number for Portage Physician Practices Inc is 1376229419. It was assigned to this organization in the NPPES registry on June 23, 2023. The provider is doing business as Up Medical Group - Portage Express Care.

Where is Portage Physician Practices Inc located?

Portage Physician Practices Inc is located at 921 W Sharon Ave, Houghton, MI 49931. The listed phone number is (906) 483-1777.

What is Portage Physician Practices Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Portage Physician Practices Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2077798) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Portage Physician Practices Inc was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.