# MCLAREN LAPEER REGION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104917079
- **Authorized official:** FRED KORTE (VP/CFO)
- **Authorized official phone:** (810) 342-2000

## Contact information

- **Practice address:** 1375 N MAIN ST, LAPEER, MI 48446-1350
- **Practice address phone:** (810) 667-5500
- **Practice address fax:** (810) 342-1335
- **Mailing address:** 1375 N MAIN ST, LAPEER, MI 48446-1350
- **Mailing address phone:** (810) 667-5500
- **Mailing address fax:** (810) 342-1335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 06/26/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000004 | HEALTHPLUS OF MICHIGAN | MI |
| 01 | — | 09943 | BCBSM | MI |
| 01 | — | 13549 | BLUE CARE NETWORK | MI |
| 05 | — | 62 3407428 | — | MI |