NPIMap

Organization Active NPI

McLaren Health Management Group

Doing business as McLaren Medical Supplies

  • Home Infusion Therapy Pharmacy
  • Davison, MI
National Provider Identifier
1720112535
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
5301006256 Issued in MI
Legal business name
MCLAREN HEALTH MANAGEMENT GROUP
Doing business as
McLaren Medical Supplies
McLaren Home Infusion
Practice address
1515 Cal Dr
Davison, MI 48423-9016
Phone
(810) 496-8850
Fax
(810) 496-8655
NPI assigned
Mar 15, 2007
Last updated
Nov 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Steven Dale Loy
Title
VP - Cfo
Phone
(810) 496-8633

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU
Pharmacy 333600000X NU
Home Infusion Therapy Pharmacy 3336H0001X 5301006256 MI Primary
Specialty Pharmacy 3336S0011X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

1515 Cal Dr
Davison, MI 48423-9016

Mailing address

PO Box 775440
Chicago, IL 60677-5440
Phone (810) 496-8850

Other identifiers 2

IdentifierTypeStateIssuer
2354431MedicaidMI
2042741OtherPK

Other names 2

  • MCLAREN MEDICAL SUPPLIES Doing business as
  • McLaren Home Infusion Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McLaren Health Management Group21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1720112535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775440",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775440",
            "telephone_number": "810-496-8850",
            "fax_number": "810-496-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 CAL DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239016",
            "telephone_number": "810-496-8850",
            "fax_number": "810-496-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN HEALTH MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "VP - CFO",
        "authorized_official_telephone_number": "810-496-8633"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MI",
            "license": "5301006256",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2354431",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042741",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCLAREN MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLaren Home Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.