NPIMap

Organization Active NPI

McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
National Provider Identifier
1376564088
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
630120 Issued in MI
Legal business name
MCLAREN OAKLAND
Practice address
50 N Perry St
Pontiac, MI 48342-2217
Phone
(248) 338-5000
Fax
(248) 338-5262
NPI assigned
Jul 21, 2006
Last updated
Oct 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Lynn Marcotte
Title
VP/Cfo
Phone
(248) 338-5691

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 630120 MI
Rehabilitation Hospital Unit 273Y00000X 630120 MI
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 631247 MI
General Acute Care Hospital 282N00000X 630120 MI Primary

Addresses

Primary practice location

50 N Perry St
Pontiac, MI 48342-2217

Mailing address

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000

Other names 1

  • Pontiac Osteopathic Hospital Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20110210001111 MI Part A Provider - Hospital 0547173213 Practice locations: Pontiac, MI; Oxford, MI; Ortonville, MI; Mount Clemens, MI; Lapeer, MI; Flint, MI; Clarkston, MI; Lake Orion, MI
O20110210001202 MI Part A Provider - Hospital 0547173213 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pontiac, MI
O20110210001209 MI Part A Provider - Hospital 0547173213 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pontiac, MI

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1376564088. Details of each certification follow.

Hospital certification: CCN 230207

Legal name
MCLAREN OAKLAND
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 1, 2012
Beds
308
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
50 N Perry St
Pontiac, MI 48342-2217
Other Hospital Practice Location
Hospital subgroups
Acute care

Hospital certification: CCN 23T207

Legal name
MCLAREN OAKLAND
Organization structure
CorporationNon-profit
Enrollment address
50 N Perry St
Pontiac, MI 48342-2217
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Hospital certification: CCN 23S207

Legal name
MCLAREN OAKLAND
Organization structure
CorporationNon-profit
Enrollment address
50 N Perry St
Pontiac, MI 48342-2217
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
McLaren OaklandCCN 230207 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
McLaren Oakland/Poh Medical CenterCCN 23T207 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 2000

National Provider Directory

National Provider Directory

Locations

2295 Fieldstone Dr
Ste 150
Lincoln, CA 95648
Phone (916) 909-3376

2713 Pontiac LK Rd
Waterford, MI 48328

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Lorenzo a Suter Individual Corporate OfficerVP/Cfo McLaren Oakland Oct 16, 2024
Corporate DirectorVP/Cfo McLaren Oakland Oct 16, 2024
Operational/Managerial ControlVP/Cfo McLaren Oakland Oct 16, 2024
Operational/Managerial ControlVP/Cfo McLaren Oakland Oct 16, 2024 100%
Angela Charice Moore Individual Corporate DirectorTrustee Mar 5, 2026
Mary Mbiya Individual Corporate DirectorTrustee Jul 18, 2019
Leo Bowman Individual Corporate DirectorTrustee Jul 1, 2003
Lynn Marcotte Individual Corporate OfficerVP/Cfo Apr 23, 2018
W-2 Managing EmployeeVP/Cfo Apr 23, 2018
Operational/Managerial ControlVP/Cfo Apr 23, 2018
Jacqui Spicer Individual Corporate DirectorTrustee Jan 1, 2020
Chad Grant Individual Corporate DirectorMHC Corp Designee May 12, 2022
Philip a Incarnati Individual OtherPres/Ceo - McLaren Health Care Corp Oct 1, 2007
Derrick McDonald Individual Corporate DirectorTrustee Mar 19, 2015
Corporate DirectorTrustee Mar 9, 2015
Tony Hain Individual Corporate DirectorTrustee Mar 1, 2004
McLaren Health Care Corporation Organization, Grand Blanc, MI Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Oct 1, 2007 100%
Allen R Prince Individual Corporate DirectorTrustee Jul 1, 2003
Kevin Ball Individual Corporate DirectorTrustee Sep 18, 2018

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Orion Nursing and Rehabilitation CenterLake Orion, MI, CCN 235481 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Direct Ownership Interest		 Dec 1, 1989
Dec 1, 1989

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 24

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.

View all 24

Affiliated clinicians 438

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

View all 438

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1376564088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5000",
            "fax_number": "248-338-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5000",
            "fax_number": "248-338-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN OAKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "MARCOTTE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "248-338-5691"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MI",
            "license": "630120",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MI",
            "license": "630120",
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "MI",
            "license": "631247",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "630120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pontiac Osteopathic Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.