# MCLAREN CENTRAL MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McLaren Northern Heart and Vascular
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144818584
- **Authorized official:** TARA SOULES (CFO)
- **Authorized official phone:** (989) 772-6818

## Contact information

- **Practice address:** 1404 BRIDGE ST, CHARLEVOIX, MI 49720-2603
- **Practice address phone:** (231) 487-2490
- **Mailing address:** 1221 SOUTH DR, MT PLEASANT, MI 48858-3257
- **Mailing address phone:** (989) 772-6700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/31/2020
- **Last updated:** 12/31/2020