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McLaren Central Michigan

Organization Active NPI Rural Health Clinic/Center · Boyne City, MI

NPI 1316569205 · NPPES record last updated Oct 21, 2021

Key facts

NPI
1316569205
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
MCLAREN CENTRAL MICHIGAN
Practice address
1249 S M 75
Boyne City, MI 49712-9688
Phone
(231) 582-2425
NPI assigned
May 13, 2020
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 42

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

View all 42

Practitioners 1

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1084790McLaren Northern Michigan Med Center-Boyne City
1249 M 75 South, Boyne City, MI 49712		Certificate of waiverJan 5, 2027

National Provider Directory

Tax ID family
McLaren Central Michigan (43 organizations share this tax ID)

Specialties & licenses

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

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

  • McLaren Northern Michigan Med Center - Boyne City Doing business as

Other providers in Boyne City, MI

All providers in Boyne City, MI · Rural Health Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.