MCLAREN CENTRAL MICHIGAN (NPI# 1902419179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902419179 |
| Entity Type | Organization |
| Organization Name | MCLAREN CENTRAL MICHIGAN |
| Practice Address |
2390 Mitchell Park Dr Ste D Petoskey MI 49770-8965 |
| Mailing Address |
1221 South Dr Mt Pleasant MI 48858-3257 |
| Practice Telephone | 2314877200 |
| Practice Fax Number | 2314877188 |
| Mailing Telephone | 9897726700 |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | TARA SOULES (VP/CFO) |
| Authorized Official Telephone | 9897726818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274940 | Mclaren Central Michigan | Clinic/Center | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 | 2020-04-24 |
| 1821618687 | Mclaren Central Michigan | Clinic/Center | 3520 N Woodruff Rd, Weidman, MI 48893-7734 | 2020-04-22 |
| 1053329086 | Mclaren Central Michigan | Clinic/Center | 5115 E Pickard St, Mt Pleasant, MI 48858-5006 | 2006-08-04 |
| 1013530997 | Mclaren Central Michigan | Clinic/Center | 2853 Health Pkwy Ste A, Mt Pleasant, MI 48858-9375 | 2020-05-26 |
| 1033732391 | Mclaren Central Michigan | Clinic/Center | 2110 S M 76, West Branch, MI 48661-8737 | 2020-05-21 |
| 1316560741 | Mclaren Central Michigan | Clinic/Center | 5170 Rifle River Trl, Alger, MI 48610-9343 | 2020-05-20 |
| 1467075895 | Mclaren Central Michigan | Clinic/Center | 2990 Campbell Rd, Rose City, MI 48654-9724 | 2020-05-20 |
| 1184247512 | Mclaren Central Michigan | Clinic/Center | 1360 N Saint Helen Rd, Saint Helen, MI 48656-9521 | 2020-05-20 |
| 1215550645 | Mclaren Central Michigan | Clinic/Center | 558 Lockwood Ln, Mio, MI 48647-9387 | 2020-05-20 |
| 1760004733 | Mclaren Central Michigan | Clinic/Center | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2020-05-13 |
| Street Address |
2390 MITCHELL PARK DR STE D |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-8965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130576 | Carolyn Marie Wiese | Physician Assistant | 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770 | 2005-08-09 |
| 1417596875 | Lance Edgerton | Nurse Practitioner | 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770-8965 | 2020-01-03 |
| 1255585501 | Daniel Verburg Md Plc | Obstetrics & Gynecology | 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770-8965 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004733 | Mclaren Central Michigan | Clinic/Center | 820 Arlington Ave, Petoskey, MI 49770-2469 | 2020-05-13 |
| 1346862455 | Mclaren Central Michigan | Clinic/Center | 560 W Mitchell St, Petoskey, MI 49770-2275 | 2020-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274940 | Mclaren Central Michigan | Clinic/Center | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 | 2020-04-24 |
| 1821618687 | Mclaren Central Michigan | Clinic/Center | 3520 N Woodruff Rd, Weidman, MI 48893-7734 | 2020-04-22 |
| 1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1881254605 | Schoolcraft Memorial Hospital | Clinic/Center | W11650 Us Highway 2, Naubinway, MI 49762-5116 | 2019-06-14 |
| 1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
| 1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
| 1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
| 1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.