NPIMap

Organization Active NPI

Huron Medical Center

Doing business as McLaren Thumb Region

  • Family Medicine Physician
  • Bad Axe, MI
National Provider Identifier
1386075828
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101011566 Issued in MI
Legal business name
HURON MEDICAL CENTER
Doing business as
McLaren Thumb Region
Practice address
1080 S Van Dyke Rd
Bad Axe, MI 48413-9635
Phone
(989) 269-6493
Fax
(989) 269-6528
NPI assigned
Dec 10, 2013
Last updated
Mar 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Michael Eric Johnston
Title
President & Ceo
Phone
(989) 803-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101011566 MI Primary

Addresses

Primary practice location

1080 S Van Dyke Rd
Bad Axe, MI 48413-9635

Mailing address

1080 S Van Dyke Rd
Bad Axe, MI 48413-9635
Phone (989) 269-6493

Other names 1

  • McLaren Thumb Region Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Huron Memorial Hospital Employed Physicians16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1386075828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 S VAN DYKE RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139635",
            "telephone_number": "989-269-6493",
            "fax_number": "989-269-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 S VAN DYKE RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139635",
            "telephone_number": "989-269-6493",
            "fax_number": "989-269-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "989-803-7127"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101011566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren Thumb Region",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bad Axe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.