# MCLAREN CENTRAL MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McLaren Northern Michigan - Gaylord Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447872551
- **Authorized official:** TARA SOULES (VP/CFO)
- **Authorized official phone:** (989) 772-6818

## Contact information

- **Practice address:** 1320 E M 32, GAYLORD, MI 49735-8378
- **Practice address phone:** (989) 731-5092
- **Practice address fax:** (989) 705-8325
- **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:** 05/12/2020
- **Last updated:** 10/25/2021