Healthcare Provider Details

I. General information

NPI: 1427247766
Provider Name (Legal Business Name): MCLAREN FLINT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 08/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E MICHIGAN AVE SUITE 655
LANSING MI
48912
US

IV. Provider business mailing address

1200 E MICHIGAN AVE SUITE 655
LANSING MI
48912-1800
US

V. Phone/Fax

Practice location:
  • Phone: 517-246-2487
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number4301090493
License Number StateMI

VIII. Authorized Official

Name: FRED KORTE
Title or Position: CFO
Credential:
Phone: 810-342-2000