| Mclaren Northern Michigan - Cheboygan Community Medical Center | |
|
740 S Main St Stes 3a, 3b, 1d Cheboygan MI 49721-2220 | |
| (231) 627-4364 | |
| (231) 627-7758 |
| Full Name | Mclaren Northern Michigan - Cheboygan Community Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 740 S Main St, Cheboygan, Michigan |
| Authorized Official Name and Position | Tara Soules (VP/CFO) |
| Authorized Official Contact | 9897726818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclaren Northern Michigan - Cheboygan Community Medical Center 1221 South Dr Mt Pleasant MI 48858-3257 Ph: (989) 772-6700 | Mclaren Northern Michigan - Cheboygan Community Medical Center 740 S Main St Stes 3a, 3b, 1d Cheboygan MI 49721-2220 Ph: (231) 627-4364 |
| NPI Number | 1982226015 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 02/11/2022 |
| Certification Date | 02/11/2022 |
| Medicare PECOS PAC ID | 6103733092 |
|---|---|
| Medicare Enrollment ID | O20200811000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982226015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
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