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MCLAREN BAY REGION
NPI 1184905796
Family Medicine in West Branch, MI

Active since September 09, 2011CLIA 23D2168417 · Accreditation
559 PROGRESS ST, SUITE A, BLDG A, WEST BRANCH, MI 48661(989) 345-0945(989) 345-2831 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mclaren Bay Region NPPES

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

MCLAREN BAY REGION (NPI 1184905796) is a healthcare organization registered as a family medicine in West Branch, Michigan and active in the NPI registry since September 2011. The organization holds an CLIA Accreditation certificate valid through October 27, 2026 and lists Danielle C Jacks Porter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1184905796
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCLAREN BAY REGION
Location Address559 PROGRESS ST, SUITE A, BLDG AWest Branch, MI 48661
Mailing Address559 Progress St, Suite A, Bldg AWest Branch, MI 48661-9399 · (989) 345-0945 · Fax (989) 345-2831
Phone(989) 345-0945
Fax(989) 345-2831
Organization SubpartNo
Authorized OfficialDanielle C Jacks PorterCfo · (989) 894-3838
Enumeration DateSeptember 9, 2011
Last NPPES UpdateAugust 8, 2018
✔ NPI 1184905796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
559 PROGRESS ST, West Branch, MI 48661
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 Accreditation 23D2168417

Mclaren Bay Region · West Branch, MI
Active · expires Oct 27, 2026
CLIA Number23D2168417
Laboratory TypeStat Lab To Support ER
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorDr. Seyedalireza Fatemi
Laboratory Phone(989) 894-3710
Laboratory LocationMclaren Bay Region2110 South M-76, Ste 5, West Branch, MI 48661
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 PRIMARY CARE
Family Medicine
559 PROGRESS ST, SUITE A, BLDG A
WEST BRANCH, MI 48661
Ogemaw County (989) 345-0945

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 Bay Region's NPI number?

The NPI number for Mclaren Bay Region is 1184905796. It was assigned to this organization in the NPPES registry on September 9, 2011.

Where is Mclaren Bay Region located?

Mclaren Bay Region is located at 559 Progress St Suite A, Bldg A, West Branch, MI 48661. The listed phone number is (989) 345-0945.

What is Mclaren Bay Region's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mclaren Bay Region hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 23D2168417) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mclaren Bay Region was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.