NPIMap

Organization Active NPI

McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
National Provider Identifier
1528031226
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MCLAREN BAY REGION
Practice address
1900 Columbus Ave
Bay City, MI 48708
Phone
(989) 894-3000
Fax
(989) 891-8172
NPI assigned
Feb 12, 2006
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Danielle C Jacks Porter
Title
VP/Cfo
Phone
(989) 894-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

1900 Columbus Ave
Bay City, MI 48708

Mailing address

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000

Other identifiers 5

IdentifierTypeStateIssuer
00004OtherMIBCBSM PROVIDER NUMBER
5170101OtherMIMEDICAID PROVIDER NUMBER
1528031226MedicaidMI
230041OtherMIMEDICARE PROVIDER NUMBER
1556302OtherMIMEDICAID PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040213000277 MI Part B Supplier - Clinic/Group Practice 5597659011 Receives reassigned benefits from 268 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bay City, MI; Essexville, MI; Gladwin, MI; Pigeon, MI; Sterling, MI; Bad Axe, MI
O20041201000125 MI Part A Provider - Hospital 5597659011 Practice locations: Bay City, MI; West Branch, MI; Pinconning, MI; Essexville, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528031226. Details of each certification follow.

Hospital certification: CCN 230041

Legal name
MCLAREN BAY REGION
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 30, 1972
Last certification
Jan 29, 2015
Beds
387
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1900 Columbus Ave
Bay City, MI 48708-6831
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
McLaren Bay RegionCCN 230041 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 13

Organizations listed as members of this organization in the National Provider Directory.

View all 13

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Keller Individual Corporate OfficerPresident/Ceo Sep 23, 2025
Corporate DirectorPresident/Ceo Sep 23, 2025
W-2 Managing EmployeeAd; Sep 23, 2025
Operational/Managerial ControlPresident/Ceo Sep 23, 2025
Matthew Felan Individual Corporate DirectorTrustee Feb 8, 2022
Praveen K Kamaraju Individual Corporate DirectorTrustee Mar 3, 2025
Chad Grant Individual Corporate DirectorCoo & MHC Corp Designee Aug 7, 2021
Rajesh Dandamudi Individual Corporate DirectorDirector Feb 1, 2016
Terrence J Cherwin Individual Corporate DirectorDirector Aug 22, 2002
McLaren Health Care Corporation Organization, Grand Blanc, MI Non-profit 5% Or Greater Direct Ownership Interest Dec 12, 2001 100%
Gary E Bosco Individual Corporate DirectorDirector Dec 13, 1994
Dominic Monastiere Individual Corporate DirectorDirector Aug 17, 1999
Heather Gallegos Individual Corporate DirectorDirector Feb 1, 2018
Lee C Newton Individual Corporate DirectorDirector Feb 1, 2018
Amy L Rodriguez Individual Corporate DirectorDirector Jan 15, 2003
Michael Johnson Individual Corporate DirectorVP/Cfo Jan 8, 2026
W-2 Managing EmployeeAd; Jan 8, 2026
Operational/Managerial ControlVP/Cfo Jan 8, 2026
Mitzi Dimitroff Individual Corporate DirectorDirector May 14, 2003

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 58

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 58

Practitioners & affiliated clinicians

Practitioners 51

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.

View all 51

Affiliated clinicians 484

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 484

NPI Registry JSON

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

{
    "created_epoch": "1139702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1528031226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 COLUMBUS AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086831",
            "telephone_number": "989-894-3000",
            "fax_number": "989-891-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COLUMBUS AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48708",
            "telephone_number": "989-894-3000",
            "fax_number": "989-891-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN BAY REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-12",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "JACKS PORTER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "989-894-3838"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER NUMBER",
            "identifier": "00004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "5170101",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528031226",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "230041",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "1556302",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.