| NPI | 1386154417 |
|---|---|
| Doing Business As | ASPIRUS PORTAGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JERRY M YANG SVP & Chief Financial Officer 715-847-2526 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2024-06-14 |