Provider Demographics
NPI:1003913716
Name:SELECT HOSPITALISTS, PLLC
Entity Type:Organization
Organization Name:SELECT HOSPITALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLACHLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-465-2879
Mailing Address - Street 1:198 S MAIN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48043-7917
Mailing Address - Country:US
Mailing Address - Phone:586-465-2879
Mailing Address - Fax:586-465-5424
Practice Address - Street 1:601 JOHN ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-5341
Practice Address - Country:US
Practice Address - Phone:269-341-7100
Practice Address - Fax:269-341-7174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301049906207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104942349Medicaid
MI0P37030Medicare ID - Type Unspecified
MI104942349Medicaid
MIP37030001Medicare ID - Type Unspecified