NPIMap

Organization Active NPI

McLaren Central Michigan

Doing business as McLaren Primary Care - Rose City

  • Rural Health Clinic/Center
  • Rose City, MI
National Provider Identifier
1467075895
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MCLAREN CENTRAL MICHIGAN
Doing business as
McLaren Primary Care - Rose City
Practice address
2990 Campbell Rd
Rose City, MI 48654-9724
Phone
(989) 685-2333
Fax
(989) 685-2760
NPI assigned
May 20, 2020
Last updated
Oct 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Tara Soules
Title
VP/Cfo
Phone
(989) 772-6818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

2990 Campbell Rd
Rose City, MI 48654-9724

Mailing address

1221 South Dr
Mt Pleasant, MI 48858-3257
Phone (989) 772-6700

Other names 1

  • McLaren Primary Care - Rose City Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLaren Central Michigan43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1467075895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SOUTH DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583257",
            "telephone_number": "989-772-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 CAMPBELL RD",
            "city": "ROSE CITY",
            "state": "MI",
            "postal_code": "486549724",
            "telephone_number": "989-685-2333",
            "fax_number": "989-685-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN CENTRAL MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "SOULES",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "989-772-6818"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren Primary Care - Rose City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rose City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.