McLaren Caro Region
Organization Active NPI Rural Health Clinic/Center · Caro, MI
NPI 1407477136 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1407477136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- MCLAREN CARO REGION
- Practice address
- 465 N Hooper St
Caro, MI 48723-1406 - Phone
- (989) 672-5735
- Fax
- (989) 672-5736
- NPI assigned
- May 5, 2020
- Organization subpart
- No
Authorized official
- Name
- Kenneth Baranski
- Title
- VP/Cfo
- Phone
- (989) 269-1510
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Related certifications (CCN) 1
Facilities with the same owner 58
Practitioners 19
-
Saad Ahmad, M.D.
-
Jody L. Bovenschen, CRNA
-
Michael Jude D'Almeida, D.O.
-
John Evans, MD
-
Heather Lynn Fryers, FNP
-
Jessica Gibson, DO
-
Roy Eugene Hanks II, D.O.
-
Paul C. Lewis, D.O.
-
Colleen Anne Linehan, M.D.
-
Arshid Pandit, M.D
-
Douglas Gordon Paulk, D.O.
-
Elizabeth Pionk, DO
-
Blake Putman, M.D.
-
Hannah Jo Sweeney, PA-C
-
Jonnie D Vanderhoef, CRNA
-
Alexandra Williams, PA-S
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Rural health clinic certification: CCN 238748
- Legal name
- MCLAREN CARO REGION
- Doing business as
- MCLAREN CARO HILL BUILDING
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Nov 25, 2020
- Last certification
- Nov 25, 2020
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 465 N Hooper St
Caro, MI 48723-1406 - Related CCNs
- 231329
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Kenneth E Baranski |
Corporate Officer |
Mar 27, 2024 | |
| W-2 Managing Employee |
Mar 27, 2024 | ||
| Operational/Managerial Control |
Mar 27, 2024 | ||
| Chad Grant |
Corporate Director |
Aug 7, 2021 | |
| Lainey Ransford |
Corporate Director |
Jan 1, 2014 | |
| Connie Koutouzos |
Corporate Officer |
Nov 15, 2021 | |
| W-2 Managing Employee |
Nov 15, 2021 | ||
| Operational/Managerial Control |
Nov 15, 2021 | ||
| John Hunter |
Corporate Director |
Jan 1, 2014 | |
| McLaren Health Care Corporation |
5% Or Greater Direct Ownership Interest | Jan 26, 2018 | 100% |
| Robert Wolak |
Corporate Director |
Apr 1, 2014 | |
| Jonathan Cummings |
Corporate Director |
Jun 11, 2026 | |
| Robert Fulton |
Corporate Director |
Nov 15, 2021 | |
| Brant Wilson |
Corporate Director |
Feb 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200707000664 | MI | Part a Provider - Rural Health Clinic | 9234048166 | Practice locations: Caro, MI |
National Provider Directory
- Tax ID family
- McLaren Caro Region
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
465 N Hooper St
Caro, MI 48723-1406
Mailing address
PO Box 435
Caro, MI 48723-0435
Phone (989) 672-5800
Other names
- McLaren Caro Region
- McLaren Caro Hill Building
Other providers in Caro, MI
- Elizabeth Marie McHugh
- Kaitlyn Elizabeth McIntosh
- McLaren Caro Region
- McLaren Caro Region
- McLaren Caro Region
- McLaren Caro Region
- Alicia A McLaren
- Donald Bion McLeod II
- Debra Meekins
- Kurt Meier
All providers in Caro, MI · Rural Health Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.