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NPI Code Detail

MEDICARE: MCLAREN CENTRAL MICHIGAN

MEDICARE: MCLAREN CENTRAL MICHIGAN
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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1598386427
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCLAREN CENTRAL MICHIGAN
Provider Business Mailing Address
First Line : 1221 SOUTH DR
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-3257
Country : US
Telephone Number : 989-772-6700
Fax Number :
Provider Business Practice Location Address
First Line : 7115 CADE RD
Second Line :
City : BROWN CITY
State : MI
Zip : 48416-9778
Country : US
Telephone Number : 810-346-2757
Fax Number : 810-346-2016
Authorized Official
Title or Position : VP/CFO
Name : TARA SOULES
Credential :
Telephone Number : 989-772-6818
Provider Enumeration Date : 05/01/2020
Last Update Date : 10/25/2021

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Directions to “MCLAREN CENTRAL MICHIGAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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