NPIMap

Organization Active NPI

Ionia County Memorial Hospital

Doing business as FHC-Portland RHC

  • Rural Health Clinic/Center
  • Portland, MI
National Provider Identifier
1609011923
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
340021 Issued in MI
Legal business name
IONIA COUNTY MEMORIAL HOSPITAL
Doing business as
FHC-Portland RHC
Practice address
9751 E Grand River Ave
Portland, MI 48875-9774
Phone
(517) 647-6722
Fax
(517) 647-6838
NPI assigned
Dec 16, 2008
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
IONIA COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Mr. William Roeser
Title
Ceo
Phone
(616) 523-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 340021 MI Primary

Addresses

Primary practice location

9751 E Grand River Ave
Portland, MI 48875-9774

Mailing address

9751 E Grand River Ave
Portland, MI 48875-9774
Phone (517) 647-6722

Other names 1

  • FHC-PORTLAND RHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ionia County Memorial Hospital11 organizations share this tax ID, including this one
Part of
Ionia County Memorial Hospital

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1609011923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488759774",
            "telephone_number": "517-647-6722",
            "fax_number": "517-647-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488759774",
            "telephone_number": "517-647-6722",
            "fax_number": "517-647-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IONIA COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IONIA COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2008-12-16",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "ROESER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-523-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MI",
            "license": "340021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FHC-PORTLAND RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.