MCLAREN THUMB REGION NPI 1558616086

NPI Information

  • NPI: 1558616086
  • Provider Name: MCLAREN THUMB REGION
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Other Name: PORT AUSTIN PRIMARY CARE CLINIC
  • CLIA Number: 23D1002149
  • Address: 24 E SPRING ST
    PORT AUSTIN, MI
    ZIP 48467
  • Phone: (989) 738-5222

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NPI Details

MCLAREN THUMB REGION is a rural health clinic center in Port Austin, MI. MCLAREN THUMB REGION NPI is 1558616086. The provider is registered as an organization entity type.
The provider Other Name Is Port Austin Primary Care Clinic.

The provider's business location address is:

24 E SPRING ST
PORT AUSTIN, MI
ZIP 48467-736
Phone: (989) 738-5222
Fax: (989) 738-5224

The provider's authorized official is Kenneth Baranski .
The authorized official title is Vp/cfo and has the following contact phone number (989) 269-1510.

The CLIA number assigned to this NPI record is 23D1002149 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2012 and was last updated on 11/14/2024.

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
1261QR1300XClinic/CenterRural HealthYes

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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