Organization
MCLAREN CENTRAL MICHIGAN
Active
Other names
McLaren Pickard Street
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SOULES (VP/CFO)
(989) 772-6720
Entity
Organization
Contact information
Practice address
5115 E PICKARD ST, MT PLEASANT, MI 48858-5006
(989) 956-4100
(989) 956-4105
Mailing address
1221 SOUTH DR, MT PLEASANT, MI 48858-3258
(989) 772-6700
(989) 772-6807
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053329086
—
MI
Enumeration date
08/04/2006
Last updated
10/25/2021
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