Healthcare Provider Details

I. General information

NPI: 1427006410
Provider Name (Legal Business Name): MCLAREN HEALTH MANAGEMENT GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 CAL DR
DAVISON MI
48423-9016
US

IV. Provider business mailing address

1515 CAL DR
DAVISON MI
48423-9016
US

V. Phone/Fax

Practice location:
  • Phone: 810-496-8641
  • Fax: 810-496-8655
Mailing address:
  • Phone: 810-496-8641
  • Fax: 810-496-8655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: STEVEN DALE LOY
Title or Position: VP - CFO
Credential:
Phone: 810-496-8633