Provider Demographics
NPI:1578146643
Name:MCLAREN HEALTH MANAGEMENT GROUP
Entity Type:Organization
Organization Name:MCLAREN HEALTH MANAGEMENT GROUP
Other - Org Name:MCLAREN NOWPLUSCLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/VP
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:LOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-496-8633
Mailing Address - Street 1:1515 CAL DR
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-9016
Mailing Address - Country:US
Mailing Address - Phone:810-496-8713
Mailing Address - Fax:
Practice Address - Street 1:2131 W GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-1601
Practice Address - Country:US
Practice Address - Phone:517-657-2249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCLAREN HEALTH MANAGEMENT GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-05
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center