Organization
MCLAREN HEALTH MANAGEMENT GROUP
Active
Other names
McLaren Hospice, McLaren Home Care and Hospice, VitalCare Hospice of Little Traverse Bay
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN DALE LOY (CFO/VICE PRESIDENT)
(810) 496-8633
Entity
Organization
Contact information
Practice address
ONE HILAND DRIVE, PETOSKEY, MI 49707
(231) 627-7157
(231) 268-3692
Mailing address
761 LAFAYETTE AVE, CHEBOYGAN, MI 49721-2117
(231) 627-7157
(231) 268-3692
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
14340
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08797
BLUE CROSS BLUE SHIELD
MI
05
—
152764373
—
MI
01
—
231541
MEDICARE PTAN
MI
Enumeration date
08/29/2006
Last updated
10/24/2020
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