NPIMap

Organization Active NPI

McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
National Provider Identifier
1982685384
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MCLAREN PORT HURON
Practice address
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone
(810) 987-5000
NPI assigned
Nov 11, 2005
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Kyle Christopher Albert Vining
Title
VP/Cfo
Phone
(810) 989-3700

Specialties & licenses 1

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

Addresses

Primary practice location

1221 Pine Grove Ave
Port Huron, MI 48060-3511

Mailing address

1221 Pine Grove Ave
Port Huron, MI 48060-3511

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040204000779 MI Part B Supplier - Clinic/Group Practice 9931018702 Receives reassigned benefits from 90 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Clair, MI; Port Huron, MI; Fort Gratiot, MI; East China, MI; Deckerville, MI
O20040603000386 MI Part A Provider - Hospital 9931018702 Practice locations: Port Huron, MI; Marysville, MI; Lexington, MI; Fort Gratiot, MI; Brockway, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982685384. Details of each certification follow.

Hospital certification: CCN 230216

Legal name
MCLAREN PORT HURON
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 4, 2019
Beds
163
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
McLaren Port HuronCCN 230216 · All quality measures
Overall star rating
2 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

Locations

4435 24th Ave
#108
Fort Gratiot, MI 48059

1231 Pine Grove Ave
Ste B
Port Huron, MI 48060
Phone (810) 648-3770

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Hilary Georgia Individual Corporate DirectorTrustee Jan 1, 2021
David a Thompson Individual Corporate DirectorDirector Sep 28, 2010
Kenneth Scott Shigley Individual Corporate DirectorDirector Feb 1, 2019
Vasken Sarkis Artinian Individual Corporate DirectorDirector Jan 1, 2016
Christopher Flann Individual Corporate DirectorTrustee Nov 23, 2022
Katherine F Cuello la O Individual Corporate DirectorTrustee Mar 24, 2026
Josh Chapman Individual Corporate DirectorTrustee Nov 23, 2022
Chad Grant Individual Corporate DirectorMHC Coo Feb 8, 2023
Kyle Vining Individual Corporate OfficerVP/Cfo Jul 12, 2022
W-2 Managing EmployeeVP/Cfo Jul 12, 2022
Operational/Managerial ControlVP/Cfo Jul 12, 2022
Gary a James Individual Corporate DirectorDirector Feb 1, 2019
Greg Busdicker Individual Corporate DirectorDirector Jan 18, 2017
Philip a Incarnati Individual Corporate DirectorDirector May 1, 2014
Leonard T Karadimas Individual Corporate DirectorDirector Jan 1, 2022
John H Ogden Individual Corporate DirectorTrustee Feb 25, 2025
Richard Leveille Individual Corporate DirectorDirector Sep 25, 2012
McLaren Health Care Corporation Organization, Grand Blanc, MI Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 1, 2014 100%
Emad Daher Individual Corporate DirectorTrustee Apr 23, 2026
David Mazurkiewicz Individual Corporate DirectorTrustee Feb 8, 2023
Kathleen Smith Individual Corporate DirectorDirector Feb 1, 2019

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marwood Nursing & RehabPort Huron, MI, CCN 235369 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Direct Ownership Interest (100%)		 Jan 1, 1987
Jan 1, 1987

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 96

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 96

Affiliated clinicians 353

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

View all 353

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1982685384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PINE GROVE AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PINE GROVE AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603511",
            "telephone_number": "810-987-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN PORT HURON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "VINING",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "CHRISTOPHER ALBERT",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "810-989-3700"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.