Active NPI
McLaren Health Management Group
- Clinic/Center
- Davison, MI
National Provider Identifier
1386213908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- McLaren NowPlusClinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Clinical Pathology/Laboratory Medicine Physician
- Flint, MI
- NPI 1205264579
O20040617000043
-
- Pain Medicine Physician
- Port Huron, MI
- NPI 1912072349
O20040617000043
National Provider Directory
National Provider DirectoryLocations
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.