OrganizationActive
Portage Hospital LLC
NPI 1366879199 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hancock, MI
Provider details
- NPI number
- 1366879199
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charlotte Lawrence, Secretary(615) 920-7688
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 Campus Dr
Hancock, MI 49930-1569
Phone: (906) 483-1000
Street-level locationGet directions
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-4536
Other names (DBA / former)
- Doing business as
- Portage Health Dialysis Center
- Doing business as
- Portage Health Dialysis Center
Registry dates
- Enumerated
- 2013-10-11
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.