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Organization Active NPI

McLaren Flint

  • Rehabilitation Hospital Unit
  • Flint, MI
National Provider Identifier
1225019607
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
MCLAREN FLINT
Practice address
401 S Ballenger Hwy
Administration
Flint, MI 48532
Phone
(810) 342-4400
Fax
(810) 342-2428
NPI assigned
Nov 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Mr. Fred Korte
Title
Vice President/Cfo
Phone
(810) 342-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X MI Primary

Addresses

Primary practice location

401 S Ballenger Hwy
Administration
Flint, MI 48532

Mailing address

401 S Ballenger Hwy
Administration
Flint, MI 48532-3638
Phone (810) 342-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101217000185 MI Part A Provider - Hospital 8628975497 Practice locations: Flint, MI

Hospital certification: CCN 23T141

Legal name
MCLAREN FLINT
Organization structure
CorporationNon-profit
Enrollment address
401 S Ballenger Hwy
Flint, MI 48532-3638
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
McLaren Regional Medical CenterCCN 23T141
Ownership
Non-profit
Certified
Oct 1, 1984

National Provider Directory

National Provider Directory
Tax ID family
McLaren Services Corpor18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

505 N Dayton St
Davison, MI 48423
Phone (810) 658-5631

2500 N Elms Rd
Flushing, MI 48433
Phone (810) 342-5500

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian J Bhagat Individual Corporate DirectorTrustee Jun 1, 2018
Lawrence Moon Individual Corporate DirectorTrustee Jul 1, 2004
Bart Daig Individual Corporate DirectorTrustee Jun 1, 2018
Beverly Walker-Griffea Individual Corporate DirectorTrustee Oct 1, 2015
Mark L Miller Individual Corporate DirectorTrustee Jun 1, 2018
Chad Grant Individual Corporate DirectorMHCC Coo Jan 30, 2017
Fred Korte Individual Corporate OfficerVP/Cfo Oct 5, 2015
W-2 Managing EmployeeVP/Cfo Oct 5, 2015
Operational/Managerial ControlVP/Cfo Oct 5, 2015
Philip a Incarnati Individual Corporate DirectorTrustee Mar 1, 1989
McLaren Health Care Corporation Organization, Flint, MI Non-profit 5% Or Greater Direct Ownership Interest Sep 30, 1992 100%
Christopher Candela Individual Corporate OfficerPresident/Ceo Apr 26, 2022
Corporate DirectorPresident/Ceo Apr 26, 2022
Operational/Managerial ControlPresident/Ceo Apr 26, 2022
Kevin Johnson Individual Corporate DirectorTrustee Nov 16, 2023
David Mazurkiewicz Individual Corporate DirectorTrustee Oct 1, 2009
Elizabeth Murphy Individual Corporate DirectorTrustee Jan 1, 2013
Michael J Mueller Individual Corporate DirectorTrustee Feb 27, 2024
George Wilkinson Individual Corporate DirectorTrustee Feb 1, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 58

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 58

Practitioners & affiliated clinicians

Practitioners 146

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

View all 146

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1225019607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "address_2": "ADMINISTRATION",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-342-4400",
            "fax_number": "810-342-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "address_2": "ADMINISTRATION",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-342-4400",
            "fax_number": "810-342-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN FLINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "KORTE",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "810-342-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.