McLaren Bay Region
Organization Active NPI Family Medicine Physician · Alger, MI
NPI 1881973253 · NPPES record last updated Aug 8, 2018
Key facts
- NPI
- 1881973253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MCLAREN BAY REGION
- Practice address
- 5170 Rifle River TRL
Alger, MI 48610 - Phone
- (989) 873-5323
- Fax
- (989) 873-3673
- NPI assigned
- Aug 16, 2011
- Organization subpart
- No
Authorized official
- Name
- Danielle C Jacks Porter
- Title
- Cfo
- Phone
- (989) 894-3838
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Bay Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Gerontology Nurse Practitioner |
363LG0600X | |||
| Pediatric Nurse Practitioner |
363LP0200X |
Addresses
Primary practice location
5170 Rifle River TRL
Alger, MI 48610
Mailing address
5170 Rifle River TRL
Alger, MI 48610-9343
Phone (989) 873-5323
Other providers in Alger, MI
- Pamela Smith Heinrich
- Henry Franklin Herlick
- Carrie Holbrook
- Christine Lynn Huff
- Hannah Joanne Johnson
- McLaren Central Michigan
- McLaren Primary Care
- Shirley Moore
- Brian David Muir
- Rebecca Oboyle
All providers in Alger, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.