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PORTAGE MEDICAL GROUP
NPI 1386970481
Family Medicine in Lake Linden, MI

Active since October 23, 2009
945 9TH ST, LAKE LINDEN, MI 49945(906) 483-1030(906) 296-0521 Get Directions Write a Review

NPPES record last updated: October 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Portage Medical Group NPPES

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

PORTAGE MEDICAL GROUP (NPI 1386970481) is a healthcare organization registered as a family medicine in Lake Linden, Michigan and active in the NPI registry since October 2009. The organization lists James Bogan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386970481
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePORTAGE HEALTH INC.
Location Address945 9TH STLake Linden, MI 49945-1100
Mailing Address894 Campus Dr, Ste. BHancock, MI 49930-1571 · (906) 483-1128 · Fax (906) 483-1122
Phone(906) 483-1030
Fax(906) 296-0521
Organization SubpartNo
Authorized OfficialJames BoganCeo · (906) 483-1500
Enumeration DateOctober 23, 2009
✔ NPI 1386970481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
945 9TH ST, Lake Linden, MI 49945
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Other Names 1

Doing Business AsPortage Medical Group

Other Identifiers 2

Medicare PIN0C16002MI
Other700C16002MI · Bcbsm

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MRS. JENNY M BAUSANO FNP
Nurse Practitioner (Family)
945 9TH ST
LAKE LINDEN, MI 49945
Houghton County (906) 483-1030
PORTAGE PHYSICIAN PRACTICES INC
Clinic/Center (Rural Health)
945 9TH ST
LAKE LINDEN, MI 49945
Houghton County (906) 483-1030
SHELBY MARIE OWENS MD
Family Medicine
945 9TH ST
LAKE LINDEN, MI 49945
Houghton County (906) 483-1030
AMANDA MATTILA
Social Worker (Clinical)
945 9TH ST
LAKE LINDEN, MI 49945
Houghton County (906) 483-1030

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 Health Inc.'s NPI number?

The NPI number for Portage Health Inc. is 1386970481. It was assigned to this organization in the NPPES registry on October 23, 2009. The provider is doing business as Portage Medical Group.

Where is Portage Health Inc. located?

Portage Health Inc. is located at 945 9th St, Lake Linden, MI 49945. The listed phone number is (906) 483-1030.

What is Portage Health Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Portage Health Inc. was last updated on October 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.