| NPI | 1588301899 |
|---|---|
| Doing Business As | MARRAM HEALTH CENTER PORTAGE |
| Entity Type | Organization |
| Authorized Contact | KATE SANDERS Vice President Of Administration 219-476-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-07-07 |