MCLAREN NORTHERN MICHIGAN ROGERS CITY MEDICAL OFFICE BUILDING
NPI 1417579525
Clinic/Center - Rural Health in Rogers City, MI
About Mclaren Northern Michigan Rogers City Medical Office Building NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCLAREN NORTHERN MICHIGAN ROGERS CITY MEDICAL OFFICE BUILDING (NPI 1417579525) is a healthcare organization registered as a rural health in Rogers City, Michigan and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through October 16, 2028 and lists Tara Soules, Vp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mclaren Northern Michigan Rogers City Medical Office Building is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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 Waiver 23D2120410
Mclaren Central Michigan Dba Mnm Rogers City Med Off Bldg · Rogers City, MIFrequently 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 1417579525. It was assigned to this organization in the NPPES registry on May 12, 2020. The provider is doing business as Mclaren Northern Michigan Rogers City Medical Office Building.
Where is Mclaren Central Michigan located?
Mclaren Central Michigan is located at 573 N Bradley Hwy Ste A, Rogers City, MI 49779. The listed phone number is (989) 734-2171.
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.
Is Mclaren Central Michigan enrolled in Medicare?
Yes. Mclaren Central Michigan is registered in the Medicare PECOS enrollment system.
When is Mclaren Central Michigan's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Michigan, Rural Health Clinic) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Mclaren Central Michigan hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2120410) is associated with this NPI, valid through October 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mclaren Central Michigan accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mclaren Central Michigan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mclaren Central Michigan was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mclaren Northern Michigan Rogers City Medical Office Building · NPI 1417579525
Rural Health organization in Rogers City, Michigan. Organization record, active in the CMS NPPES registry since May 12, 2020.
## Identity
- **NPI:** 1417579525 (Entity type: Organization)
- **Enumerated:** May 12, 2020
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Mclaren Central Michigan
- **Organization subpart:** No
- **Authorized official:** Tara Soules, VP/CFO
## Practice location
- **Address:** 573 N BRADLEY HWY STE A, Rogers City, MI 49779-1508
- **Phone:** (989) 734-2171 · **Fax:** (989) 734-2312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Part A, Michigan, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417579525) · Data from the CMS NPPES public registry.