Organization Active NPI

McLaren Primary Care

  • Rural Health Clinic/Center
  • Rose City, MI
National Provider Identifier
1528097672
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MCLAREN PRIMARY CARE
Practice address
2990 Campbell Rd
Rose City, MI 48654-9724
Phone
(989) 685-2333
Fax
(989) 685-2760
NPI assigned
Jul 1, 2006
Last updated
May 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

2990 Campbell Rd
Rose City, MI 48654-9724

Mailing address

1900 Columbus Ave
Attn: McLaren Bay Region Ceo
Bay City, MI 48708-6831

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1528097672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 COLUMBUS AVE",
            "address_2": "ATTN: MCLAREN BAY REGION CEO",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086831"
        },
        {
            "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 PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2019-05-21",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2019; 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.