# MCLAREN CENTRAL MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McLaren Northern Family Medicine / Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972191278
- **Authorized official:** TARA SOULES (CFO)
- **Authorized official phone:** (989) 772-6818

## Contact information

- **Practice address:** 116 W MITCHELL ST, PETOSKEY, MI 49770-2357
- **Practice address phone:** (231) 348-2828
- **Mailing address:** PO BOX 775361, CHICAGO, IL 60677-5361
- **Mailing address phone:** (269) 973-1298

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2021
- **Last updated:** 01/04/2021