MEDICARE: MCLAREN THUMB REGION

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
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1154942662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCLAREN THUMB REGION

Provider Business Mailing Address
First Line	:	1100 S VAN DYKE RD
Second Line	:
City	:	BAD AXE
State	:	MI
Zip	:	48413-9615
Country	:	US
Telephone Number	:	989-269-9521
Fax Number	:

Provider Business Practice Location Address
First Line	:	1117 S VAN DYKE RD
Second Line	:
City	:	BAD AXE
State	:	MI
Zip	:	48413-8467
Country	:	US
Telephone Number	:	989-269-6170
Fax Number	:	989-269-2751

Authorized Official
Title or Position	:	VP/CFO
Name	:	KENNETH BARANSKI
Credential	:
Telephone Number	:	989-269-1510

Provider Enumeration Date	:	05/06/2020
Last Update Date	:	11/14/2024

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Directions to “MCLAREN THUMB REGION ” Practice Location

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