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MCLAREN CENTRAL MICHIGAN NPI 1902419179


NPI Information

NPI: 1902419179
Provider Name: MCLAREN CENTRAL MICHIGAN

Doing Business As: MCLAREN NORTHERN MICHIGAN MED CENTER - PETOSKEY SOUTH

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 23D0964215

Address:
1890 US HIGHWAY 131 UNIT 4
PETOSKEY, MI
ZIP 49770
Phone: (231) 487-2000
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MCLAREN CENTRAL MICHIGAN is a rural health clinic center in Petoskey, MI. MCLAREN CENTRAL MICHIGAN NPI is 1902419179. The provider is registered as an organization entity type.
The provider Is Doing Business As Mclaren Northern Michigan Med Center - Petoskey South.

The provider's business location address is:

1890 US HIGHWAY 131 UNIT 4
PETOSKEY, MI
ZIP 49770-344
Phone: (231) 487-2000

The provider's authorized official is Tara Soules .
The authorized official title is Vp/cfo and has the following contact phone number (989) 772-6818.

The CLIA number assigned to this NPI record is 23D0964215 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2020 and was last updated on 10/21/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.