# MCLAREN PRIMARY CARE

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

## Provider details

- **NPI number:** 1528097672
- **Authorized official:** DANIELLE C JACKS PORTER (VP/CFO)
- **Authorized official phone:** (989) 894-3838

## Contact information

- **Practice address:** 2990 CAMPBELL RD, ROSE CITY, MI 48654-9724
- **Practice address phone:** (989) 685-2333
- **Practice address fax:** (989) 685-2760
- **Mailing address:** 1900 COLUMBUS AVE, ATTN: MCLAREN BAY REGION CEO, BAY CITY, MI 48708-6831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 05/21/2019