| Organization Name: | PORTAGE HOSPITAL LLC |
| NPI Number: | 1285061010 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY G. SERAPHINE (PRESIDENT) |
| Mailing Address: | 821 W Water St Hancock |
| State: | MI US |
| Postal Code: | 499301953 |
| Phone Number: | 9064831160 |
| Fax Number: | 9064831167 |
| NPI Enumeration Date: | 10/11/2013 |
| NPI Last Update Date: | 01/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |