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NPI Code Detail

MEDICARE: MCLAREN BAY REGION

MEDICARE: MCLAREN BAY REGION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1273Y00000XRehabilitation Hospital Unit

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
223T041OTHERMIMEDICARE PROVIDER NUMBER

Other Identifiers

General Provider Information

NPI Number : 1801860218
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCLAREN BAY REGION
Provider Business Mailing Address
First Line : 1900 COLUMBUS AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-6831
Country : US
Telephone Number : 989-894-3000
Fax Number : 989-891-8172
Provider Business Practice Location Address
First Line : 3250 E MIDLAND RD
Second Line :
City : BAY CITY
State : MI
Zip : 48706-2835
Country : US
Telephone Number : 989-894-3000
Fax Number : 989-891-8172
Authorized Official
Title or Position : VP/CFO
Name : DANIELLE C JACKS PORTER
Credential :
Telephone Number : 989-894-3838
Provider Enumeration Date : 02/14/2006
Last Update Date : 07/21/2020

Similar Medicare Providers

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1710475744 — VALERIE PALMATIER
Practice Location Address:
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1033608138 — ANNE KAY RYSSE OTRL
Practice Location Address:
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1124517222 — KATELYN MARIE DULUDE
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Directions to “MCLAREN BAY REGION ” Practice Location

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