NPIMap

Organization Active NPI

McLaren Central Michigan

  • Rural Health Clinic/Center
  • Boyne City, MI
National Provider Identifier
1003403783
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MCLAREN CENTRAL MICHIGAN
Practice address
1249 S M 75
Boyne City, MI 49712-9688
Phone
(231) 582-1515
NPI assigned
Dec 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tara Soules
Title
Cfo
Phone
(989) 772-6818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1249 S M 75
Boyne City, MI 49712-9688

Mailing address

1221 South Dr
Mt Pleasant, MI 48858-3257
Phone (989) 772-6700

Other names 1

  • McLaren Northern Family Medicine / Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLaren Central Michigan43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/627b435a-9f3b-46fa-98a6-9a699e37eec6/

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1003403783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SOUTH DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583257",
            "telephone_number": "989-772-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 S M 75",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497129688",
            "telephone_number": "231-582-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN CENTRAL MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "SOULES",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "989-772-6818"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren Northern Family Medicine / Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boyne City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.