Organization Active NPI

McLaren Health Management Group

  • Clinic/Center
  • Davison, MI
National Provider Identifier
1386213908
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MCLAREN HEALTH MANAGEMENT GROUP
Practice address
901 S State Rd
Davison, MI 48423-1721
Phone
(810) 214-1763
Fax
(810) 600-7724
NPI assigned
Jun 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Steven Dale Loy
Title
Cfo/Vice President
Phone
(810) 496-8633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

901 S State Rd
Davison, MI 48423-1721

Mailing address

1515 Cal Dr
Davison, MI 48423-9016
Phone (810) 496-8713

Other names 2

  • McLaren CareNow Doing business as
  • McLaren NowPlusClinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040617000043 MI Part B Supplier - Clinic/Group Practice 8628985215 Receives reassigned benefits from 45 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flint, MI; Port Huron, MI

Other NPIs on the same Medicare enrollment 12

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

National Provider Directory

National Provider Directory

Locations

901 S State Rd
Davison, MI 48423
Phone (810) 214-1763

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1386213908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CAL DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239016",
            "telephone_number": "810-496-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S STATE RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231721",
            "telephone_number": "810-214-1763",
            "fax_number": "810-600-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN HEALTH MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "CFO/VICE PRESIDENT",
        "authorized_official_telephone_number": "810-496-8633"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren CareNow",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLaren NowPlusClinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.