MCLAREN CENTRAL MICHIGAN NPI 1770105652

NPI Information

NPI: 1770105652
Provider Name: MCLAREN CENTRAL MICHIGAN
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 23D2103558

Address:
805 W CEDAR ST
STANDISH, MI
ZIP 48658
Phone: (989) 846-4521
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MCLAREN CENTRAL MICHIGAN is a rural health clinic center in Standish, MI. MCLAREN CENTRAL MICHIGAN NPI is 1770105652. The provider is registered as an organization entity type.

The provider's business location address is:

805 W CEDAR ST
STANDISH, MI
ZIP 48658-526
Phone: (989) 846-4521
Fax: (989) 846-3546

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 23D2103558 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2020 and was last updated on 5/13/2020.

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
1	261QR1300X	Clinic/Center	Rural Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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