NPIMap

Organization Active NPI

Mediclinic PC

  • Primary Care Clinic/Center
  • Cheboygan, MI
National Provider Identifier
1407040397
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
5101013965 Issued in MI
Legal business name
MEDICLINIC PC
Practice address
10823 North Straits Hwy
Cheboygan, MI 49721
Phone
(231) 627-9700
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Michael H Florek, D.O.
Title
President
Phone
(231) 627-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 5101013965 MI Primary

Addresses

Primary practice location

10823 North Straits Hwy
Cheboygan, MI 49721

Mailing address

5208 Long Lake Rd
Cheboygan, MI 49721-9159
Phone (231) 627-9700

National Provider Directory

National Provider Directory
Tax ID family
Mackinaw City Medical Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

10823 N Straits Hwy
Cheboygan, MI 49721
Phone (231) 627-9700

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1407040397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 LONG LAKE RD",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219159",
            "telephone_number": "231-627-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10823 NORTH STRAITS HWY",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "49721",
            "telephone_number": "231-627-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "FLOREK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-627-9700",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "5101013965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.