NPIMap

Organization Active NPI

Portage Hospital LLC

Doing business as UP Health System Portage

  • General Acute Care Hospital
  • Hancock, MI
National Provider Identifier
1245667229
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PORTAGE HOSPITAL LLC
Doing business as
UP Health System Portage
Practice address
500 Campus Dr
Hancock, MI 49930-1569
Phone
(906) 483-1000
NPI assigned
Oct 4, 2013
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

500 Campus Dr
Hancock, MI 49930-1569

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-4536
Phone (615) 920-7000

Other names 1

  • UP Health System Portage Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phs@direct.uphsportage.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140123000490 MI Part A Provider - Hospital 1951538883 Practice locations: Lake Linden, MI; Houghton, MI; Hancock, MI; Calumet, MI
O20140224000087 MI Part B Supplier - Clinic/Group Practice 1951538883 Receives reassigned benefits from 44 practitioners
Practice locations: Hancock, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245667229. Details of each certification follow.

Hospital certification: CCN 230108

Legal name
PORTAGE HOSPITAL LLC
Doing business as
UP HEALTH SYSTEM PORTAGE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 8, 1988
Last certification
Jul 8, 1988
Beds
36
Ownership / control type
Other
Most recent change of ownership
Dec 1, 2013 (1 total)
Organization structure
LLCProprietary
Enrollment address
500 Campus Dr
Hancock, MI 49930-1452
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Up Health System PortageCCN 230108 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Holdings 2 LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 17, 2013 80%
Ryan K. Heinonen Individual W-2 Managing EmployeeHospital Ceo Jan 10, 2022
Portage Health Foundation Organization, Hancock, MI Corporation, Holding company, Non-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2013 20%
Portage Holding Company LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 17, 2013 100%
Bruce a. Rukkila Individual OtherGovernor Aug 5, 2019
Kevin Store Individual OtherGovernor Nov 1, 2016
William W Liston Individual OtherGovernor Nov 30, 2013
DSB Acquisition LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 80%
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 17, 2013 80%
Elmer B Polite Individual Corporate OfficerPresident Dec 14, 2020
OtherGovernor Dec 14, 2020
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 17, 2013 80%
Timothy John Labonte Individual OtherMember of Board of Governors May 7, 2020
Lifepoint Health Inc Organization, Brentwood, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 80%
Marcus B Poppell Individual Corporate OfficerSenior Vice President Nov 16, 2018
OtherVice President, Reimbursement Dec 1, 2013
Kristine Weidner Individual OtherGovernor Jun 1, 2017
Charlotte E Lawrence Individual Corporate OfficerSecretary Feb 10, 2022
HSC Manager LLC Organization, Brentwood, TN LLC, Management services company, For-profit Operational/Managerial Control Dec 1, 2013
Teresa Williams Individual OtherGovernor May 31, 2024
Elliott Brown Individual Corporate OfficerSenior VP & Treasurer Apr 2, 2026
Jonathan C Wall Individual Corporate DirectorBoard of Governors Sep 1, 2025
Phillip Sensing Individual Corporate OfficerCfo May 4, 2026
Christopher J Monte Individual Corporate OfficerVice President Apr 17, 2013
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 17, 2013 80%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Acquisition Bell Hospital LLC

    dba UP Health System Bell

    • Critical Access Hospital
    • Ishpeming, MI
    • NPI 1699101345

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Acquisition Bell Hospital LLC

    dba UP Health System Bell

    • Medicare Defined Swing Bed Hospital Unit
    • Ishpeming, MI
    • NPI 1760819858

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Bell Physician Practices Inc

    dba UP Medical Group - Bell Women's Care

    • Rural Health Clinic/Center
    • Ishpeming, MI
    • NPI 1114726676

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Marquette General Hospital LLC

    dba UP Health System Marquette

    • Rehabilitation Hospital Unit
    • Marquette, MI
    • NPI 1134474737

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Marquette General Hospital LLC

    dba UP Health System Marquette

    • General Acute Care Hospital
    • Marquette, MI
    • NPI 1568727048

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Marquette General Hospital LLC

    dba UP Health System Marquette

    • Psychiatric Hospital Unit
    • Marquette, MI
    • NPI 1699020289

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Marquette Physician Practices Inc

    dba UP Health System Pediatric Specialists

    • Rural Health Clinic/Center
    • Marquette, MI
    • NPI 1205635760

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • DLP Marquette Physician Practices Inc

    dba UP Health System Family Medicine

    • Rural Health Clinic/Center
    • Escanaba, MI
    • NPI 1679372130

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Michigan in-Home Partner-I, LLC

    dba UP Health System Home Care and Hospice

    • Home Health Agency
    • Marquette, MI
    • NPI 1457899668

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Michigan in-Home Partner-III, LLC

    dba UP Health System Home Care and Hospice Portage

    • Home Health Agency
    • Houghton, MI
    • NPI 1942749726

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Portage Hospital LLC

    dba PortagePointe

    • Skilled Nursing Facility
    • Hancock, MI
    • NPI 1104253921

    Historic Lifepoint Hospitals, LLC, HSC Manager LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC, Portage Health Foundation, Portage Holding Company LLC

    CMS ownership
  • Portage Hospital LLC

    dba Portage Health

    • Medicare Defined Swing Bed Hospital Unit
    • Hancock, MI
    • NPI 1821425612

    Historic Lifepoint Hospitals, LLC, HSC Manager LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC, Portage Health Foundation, Portage Holding Company LLC

    CMS ownership
View all 193

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

Affiliated clinicians 161

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 161

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1245667229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274536",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAMPUS DR",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301569",
            "telephone_number": "906-483-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7688"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phs@direct.uphsportage.net",
            "affiliation": "N",
            "address_1": "500 Campus Dr",
            "city": "Hancock",
            "state": "MI",
            "country_code": "US",
            "postal_code": "499301569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UP Health System Portage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UP Health System Portage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hancock, MI

Sources for this page

Verify at the official NPI Registry.