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NPI Code Detail

MEDICARE: MCLAREN BAY SPECIAL CARE

MEDICARE: MCLAREN BAY SPECIAL CARE
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
1282E00000XLong Term Care HospitalMI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1232020OTHERMIMEDICARE PROVIDER NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
200348OTHERMIBCBSM PROVIDER NUMBER
30989307OTHERMIHEALTH PLUS OF MICHIGAN

General Provider Information

NPI Number : 1962512863
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCLAREN BAY SPECIAL CARE
Provider Business Mailing Address
First Line : 3250 E MIDLAND RD STE 1
Second Line :
City : BAY CITY
State : MI
Zip : 48706-2835
Country : US
Telephone Number : 586-710-8346
Fax Number : 989-667-6809
Provider Business Practice Location Address
First Line : 3250 E MIDLAND RD STE 1
Second Line :
City : BAY CITY
State : MI
Zip : 48706-2835
Country : US
Telephone Number : 586-710-8346
Fax Number : 989-667-6809
Authorized Official
Title or Position : PRESIDENT & CEO
Name : ELLEN TALBOTT
Credential :
Telephone Number : 989-667-6808
Provider Enumeration Date : 08/30/2006
Last Update Date : 01/19/2021

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Directions to “MCLAREN BAY SPECIAL CARE ” Practice Location

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