Organization
MCLAREN HEALTH MANAGEMENT GROUP
Active
Other names
McLaren Home Care & Hospice, VitalCare Hospice of the Sunrise Shore, McLaren Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DALE LOY (CFO/VICE PRESIDENT)
(810) 496-8633
Entity
Organization
Contact information
Practice address
506 N BRADLEY HWY, ROGERS CITY, MI 49779-1509
(800) 342-7711
(231) 268-3700
Mailing address
761 LAFAYETTE AVENUE, CHEBOYGAN, MI 49721
(231) 627-7157
(231) 268-3692
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
043512
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08788
BCBS
MI
01
—
231580
MEDICARE PTAN
MI
05
—
4083950
—
MI
Enumeration date
10/13/2006
Last updated
11/11/2020
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