McLaren Caro Region
Organization Active NPI Rural Health Clinic/Center · Caro, MI
NPI 1487166609 · NPPES record last updated Apr 8, 2026
Key facts
- NPI
- 1487166609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- MCLAREN CARO REGION
- Practice address
- 1800 W Caro Rd
Ste IV, VIII
Caro, MI 48723-8209 - Phone
- (989) 672-5735
- Fax
- (989) 672-5734
- NPI assigned
- Oct 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Kenneth Baranski
- Title
- 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
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0375047 | McLaren Caro Primary and Specialty | Certificate of waiver | Jun 30, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Rural health clinic certification: CCN 238720
- Legal name
- MCLAREN CARO REGION
- Doing business as
- MCLAREN CARO PRIMARY AND SPECIALTY CARE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- May 18, 2020
- Last certification
- May 18, 2020
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1800 W Caro Rd, Ste IV, Ste VIII
Caro, MI 48723-8209 - 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 1, 2018 | 100% |
| Robert Wolak |
Corporate Director | Apr 1, 2014 | |
| Jonathan Cummings |
Corporate Director |
Mar 31, 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 |
|---|---|---|---|---|
| O20180112001933 | MI | Part a Provider - Rural Health Clinic | 9234048166 | Practice locations: Caro, MI |
National Provider Directory
- Tax ID family
- McLaren Caro Region
Locations
1800 W Caro Rd
Ste Iv
Caro, MI 48723
Phone (989) 231-5961
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1800 W Caro Rd
Ste IV, VIII
Caro, MI 48723-8209
Mailing address
PO Box 435
Caro, MI 48723-0435
Phone (989) 673-3141
Other names
- McLaren Caro Region
- McLaren Caro Primary and Specialty Care
Other providers in Caro, MI
- 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
- David Mellendorf
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 Apr 8, 2026. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.