HURON MEMORIAL HOSPITAL NPI 1083772826

NPI Information

  • NPI: 1083772826
  • Provider Name: HURON MEMORIAL HOSPITAL
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MCLAREN THUMB REGION - PORT AUSTIN CAMPUS
  • CLIA Number: 23D1006421
  • Address: 1100 S VAN DYKE RD
    BAD AXE, MI
    ZIP 48413
  • Phone: (989) 269-9521

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NPI Details

HURON MEMORIAL HOSPITAL is a family medicine in Bad Axe, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HURON MEMORIAL HOSPITAL NPI is 1083772826. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mclaren Thumb Region - Port Austin Campus.

The provider's business location address is:

1100 S VAN DYKE RD
BAD AXE, MI
ZIP 48413-615
Phone: (989) 269-9521
Fax: (989) 269-5260

The provider's authorized official is Michael Eric Johnston .
The authorized official title is President & Ceo and has the following contact phone number (989) 803-7127.

The CLIA number assigned to this NPI record is 23D1006421 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 3/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineRL040876MICHIGANYes
2363AM0700XPhysician AssistantMedicalRD002414MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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