# MCLAREN BAY REGION

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

## Provider details

- **NPI number:** 1649560467
- **Authorized official:** DANIELLE C JACKS PORTER (CFO)
- **Authorized official phone:** (989) 894-3838

## Contact information

- **Practice address:** 611 COURT ST, WEST BRANCH, MI 48661
- **Practice address phone:** (989) 345-7000
- **Practice address fax:** (989) 345-7479
- **Mailing address:** 1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
- **Mailing address phone:** (989) 894-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2011
- **Last updated:** 08/07/2018