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NPI Code Detail

MEDICARE: MCLAREN GREATER LANSING

MEDICARE: MCLAREN GREATER LANSING
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
1282N00000XGeneral Acute Care Hospital330020MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
400179OTHERMIBLUE CROSS OF MICHIGAN
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134104672
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCLAREN GREATER LANSING
Provider Business Mailing Address
First Line : 2900 COLLINS RD
Second Line :
City : LANSING
State : MI
Zip : 48910-8394
Country : US
Telephone Number : 517-975-6000
Fax Number :
Provider Business Practice Location Address
First Line : 2900 COLLINS RD
Second Line :
City : LANSING
State : MI
Zip : 48910-8394
Country : US
Telephone Number : 517-975-6000
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. DALE THOMPSON JR.
Credential :
Telephone Number : 517-975-7555
Provider Enumeration Date : 12/07/2005
Last Update Date : 03/08/2022

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1780656561 — KENNETH ELMASSIAN DO
Practice Location Address:
2900 COLLINS RD # 106
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48910-8394
Practice Phone: 517-482-2118
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1598737371 — DANA JAMES DUREN DO
Practice Location Address:
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48910-8394
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1679538706 — SUCHETA AMBEKAR D.O.
Practice Location Address:
2900 COLLINS RD
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48910-8394
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Practice Fax:

Directions to “MCLAREN GREATER LANSING ” Practice Location

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