NPIMap

Organization Active NPI

McLaren Central Michigan

Doing business as McLaren Primary Care - Mio

  • Rural Health Clinic/Center
  • Mio, MI
National Provider Identifier
1215550645
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MCLAREN CENTRAL MICHIGAN
Doing business as
McLaren Primary Care - Mio
Practice address
558 Lockwood LN
Mio, MI 48647-9387
Phone
(989) 826-3271
Fax
(989) 826-6749
NPI assigned
May 20, 2020
Last updated
Oct 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

558 Lockwood LN
Mio, MI 48647-9387

Mailing address

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

Other names 1

  • McLaren Primary Care - Mio 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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1215550645",
    "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": "558 LOCKWOOD LN",
            "city": "MIO",
            "state": "MI",
            "postal_code": "486479387",
            "telephone_number": "989-826-3271",
            "fax_number": "989-826-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN CENTRAL MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "SOULES",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "989-772-6818"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren Primary Care - Mio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mio, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.