Healthcare Provider Details

I. General information

NPI: 1073568978
Provider Name (Legal Business Name): MCLAREN CARO REGION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N HOOPER ST
CARO MI
48723-1476
US

IV. Provider business mailing address

PO BOX 435
CARO MI
48723-0435
US

V. Phone/Fax

Practice location:
  • Phone: 989-673-3141
  • Fax: 989-673-8471
Mailing address:
  • Phone: 989-673-3141
  • Fax: 989-673-8471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number790032
License Number StateMI

VIII. Authorized Official

Name: KENNETH BARANSKI
Title or Position: CFO
Credential:
Phone: 989-269-1510