# MCLAREN CENTRAL MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McLaren Northern Michigan - Cheboygan Community Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982226015
- **Authorized official:** TARA SOULES (VP/CFO)
- **Authorized official phone:** (989) 772-6818

## Contact information

- **Practice address:** 740 S MAIN ST, STES 3A, 3B, 1D, CHEBOYGAN, MI 49721-2220
- **Practice address phone:** (231) 627-4364
- **Practice address fax:** (231) 627-7758
- **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:** 02/11/2022