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General NPI Number Information
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NPI Number | 1104253921
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Entity Type | Organization
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Legal Business Name | PORTAGE HOSPITAL LLC
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Dates
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Enumeration Date | 10/11/2013
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 520 CAMPUS DR
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City | HANCOCK
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State | MI
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Zip | 49930-1569
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Country | US
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Telephone | 906-483-1300
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Fax | 906-483-1184
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-4536
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Country | US
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Telephone | 615-920-7000
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Fax | 615-920-8913
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Authorized Official
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Title or Position | SECRETARY
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Name | CHARLOTTE LAWRENCE
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Credential |
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Telephone | 615-920-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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