Healthcare Provider Details

I. General information

NPI: 1801860218
Provider Name (Legal Business Name): MCLAREN BAY REGION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 07/21/2020
Certification Date: 07/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 E MIDLAND RD
BAY CITY MI
48706-2835
US

IV. Provider business mailing address

1900 COLUMBUS AVE
BAY CITY MI
48708-6831
US

V. Phone/Fax

Practice location:
  • Phone: 989-894-3000
  • Fax: 989-891-8172
Mailing address:
  • Phone: 989-894-3000
  • Fax: 989-891-8172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE C JACKS PORTER
Title or Position: VP/CFO
Credential:
Phone: 989-894-3838