| Mclaren Central Michigan | |
|
560 W Mitchell St Stes 125,160,170,185,300,400,505,560,m40,c80,c70,240 Petoskey MI 49770-2275 | |
| (231) 487-2460 | |
| (231) 487-6596 |
| Full Name | Mclaren Central Michigan |
|---|---|
| Speciality | Clinic/Center |
| Location | 560 W Mitchell St, Petoskey, 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 Central Michigan 1221 South Dr Mt Pleasant MI 48858-3257 Ph: (989) 772-6700 | Mclaren Central Michigan 560 W Mitchell St Stes 125,160,170,185,300,400,505,560,m40,c80,c70,240 Petoskey MI 49770-2275 Ph: (231) 487-2460 |
| NPI Number | 1346862455 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 10/21/2021 |
| Medicare PECOS PAC ID | 6103733092 |
|---|---|
| Medicare Enrollment ID | O20201208001898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346862455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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