MCLAREN BAY REGION NPI 1780722785

NPI Information

  • NPI: 1780722785
  • Provider Name: MCLAREN BAY REGION
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 23D2307943
  • Address: 1480 W CENTER RD STE 5
    ESSEXVILLE, MI
    ZIP 48732
  • Phone: (989) 895-4625

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NPI Details

MCLAREN BAY REGION is a family medicine in Essexville, 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. MCLAREN BAY REGION NPI is 1780722785. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1480 W CENTER RD STE 5
ESSEXVILLE, MI
ZIP 48732
Phone: (989) 895-4625
Fax: (989) 895-4626

The provider's authorized official is Danielle C Jacks Porter .
The authorized official title is Cfo and has the following contact phone number (989) 894-3838.

The CLIA number assigned to this NPI record is 23D2307943 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 8/7/2018.

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
1207R00000XInternal MedicineNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
3363A00000XPhysician AssistantNo
4363AS0400XPhysician AssistantSurgicalNo
5208000000XPediatricsNo
62084N0400XPsychiatry & NeurologyNeurologyNo
72086S0129XSurgeryVascular SurgeryNo
8363L00000XNurse PractitionerNo
9363LF0000XNurse PractitionerFamilyNo
10207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
11207RI0011XInternal MedicineInterventional CardiologyNo
12207T00000XNeurological SurgeryNo
13207X00000XOrthopaedic SurgeryNo
14207Q00000XFamily MedicineYes
15207RC0000XInternal MedicineCardiovascular DiseaseNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1700Z946010OTHERMICHIGANBLUE CROSS BLUE SHIELD
2=========OTHERMICHIGANTAX ID

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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