Organization
MCLAREN OAKLAND
Active
Other names
Pontiac Osteopathic Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MARCOTTE (VP/CFO)
(248) 338-5691
Entity
Organization
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5000
(248) 338-5262
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5000
(248) 338-5262
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
630120
MI
273Y00000X
Rehabilitation Hospital Unit
630120
MI
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
631247
MI
282N00000X
General Acute Care Hospital
Primary
630120
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00213
BLUECROSS ACUTE CARE HOS
MI
01
—
134124300
DOL OWCP FECA
FL
05
—
1557696
—
MI
01
—
20214
BLUE CROSS IP SUBSTANCE ABUSE UNIT
MI
05
—
5171673
—
MI
Enumeration date
07/21/2006
Last updated
10/01/2020
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