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MCLAREN CENTRAL MICHIGAN
NPI 1003403783
Clinic/Center - Rural Health in Boyne City, MI

Active since December 28, 2020CLIA Certified · 3 labs
1249 S M 75, BOYNE CITY, MI 49712(231) 582-1515 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mclaren Central Michigan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCLAREN CENTRAL MICHIGAN (NPI 1003403783), doing business as Mclaren Northern Family Medicine / Urgent Care, is a healthcare organization registered as a rural health in Boyne City, Michigan and active in the NPI registry since December 2020. The organization holds 3 active CLIA laboratory certificates and lists Tara Soules, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003403783
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMCLAREN CENTRAL MICHIGAN
Location Address1249 S M 75Boyne City, MI 49712-9688
Mailing Address1221 South DrMt Pleasant, MI 48858-3257 · (989) 772-6700
Phone(231) 582-1515
Organization SubpartNo
Authorized OfficialTara SoulesCfo · (989) 772-6818
Enumeration DateDecember 28, 2020
NPPES CertifiedDecember 24, 2020
✔ NPI 1003403783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1249 S M 75, Boyne City, MI 49712
Open in Google Maps ↗

Other Names 1

Doing Business AsMclaren Northern Family Medicine / Urgent Care

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2002201

Mclaren Central Michigan Dba Pickard Street · Mount Pleasant, MI
Active · expires Jul 31, 2027
CLIA Number23D2002201
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorTamara Moutsatson
Laboratory Phone(989) 289-0389
Laboratory LocationMclaren Central Michigan Dba Pickard Street5115 E Pickard St, Mount Pleasant, MI 48858
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2013965

Mclaren Central Michigan - Health Park · Mount Pleasant, MI
Active · expires Mar 22, 2027
CLIA Number23D2013965
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorMichelle Nelson
Laboratory Phone(989) 371-4762
Laboratory LocationMclaren Central Michigan - Health Park2940 Health Parkway, Mount Pleasant, MI 48858
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 23D0037319

Mclaren Central Michigan · Mount Pleasant, MI
Active · expires Mar 14, 2027
CLIA Number23D0037319
Laboratory TypeHospital
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorDr. Khaleel I. Al-Obaidy
Laboratory Phone(989) 772-6776
Laboratory LocationMclaren Central Michigan1221 South Drive, Mount Pleasant, MI 48858
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCLAREN CENTRAL MICHIGAN
Clinic/Center (Rural Health)
1249 S M 75
BOYNE CITY, MI 49712
Charlevoix County (231) 582-2425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mclaren Central Michigan's NPI number?

The NPI number for Mclaren Central Michigan is 1003403783. It was assigned to this organization in the NPPES registry on December 28, 2020. The provider is doing business as McLaren Northern Family Medicine / Urgent Care.

Where is Mclaren Central Michigan located?

Mclaren Central Michigan is located at 1249 S M 75, Boyne City, MI 49712. The listed phone number is (231) 582-1515.

What is Mclaren Central Michigan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mclaren Central Michigan hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mclaren Central Michigan was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.