Organization
MCLAREN CENTRAL MICHIGAN
Active
Other names
McLaren Medical Arts Building
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SOULES (VP/CFO)
(989) 772-6720
Entity
Organization
Contact information
Practice address
1201 SOUTH DR, STES 131, 341, 352, 371, MT PLEASANT, MI 48858-3256
(989) 779-5250
(989) 779-5251
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
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437166022
—
MI
Enumeration date
08/03/2006
Last updated
02/11/2022
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