PORT AUSTIN PRIMARY CARE CLINIC
NPI 1558616086
Clinic/Center - Rural Health in Port Austin, MI

Active since July 20, 2012CLIA 23D1002149 · Waiver
24 E SPRING ST, PORT AUSTIN, MI 48467(989) 738-5222(989) 738-5224 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 14, 2024, May 5, 2020 (2 updates tracked since 2020).

About Port Austin Primary Care Clinic NPPES

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

PORT AUSTIN PRIMARY CARE CLINIC (NPI 1558616086) is a healthcare organization registered as a rural health in Port Austin, Michigan and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Kenneth Baranski, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1558616086
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMCLAREN THUMB REGION
Location Address24 E SPRING STPort Austin, MI 48467-6736
Mailing Address1100 S Van Dyke RdBad Axe, MI 48413-9615 · (989) 269-9521 · Fax (989) 269-5602
Fax(989) 738-5224
Organization SubpartNo
Authorized OfficialKenneth BaranskiVp/cfo · (989) 269-1510
Enumeration DateJuly 20, 2012
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1558616086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
24 E SPRING ST, Port Austin, MI 48467

Other Names 1

Other NamePort Austin Primary Care Clinic

Accepted Insurance

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 23D1002149

Mclaren Thumb Region Port Austin Primary Care · Port Austin, MI
Active · expires Mar 25, 2027
CLIA Number23D1002149
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorOlivia Thiel
Laboratory Phone(989) 738-5222
Laboratory LocationMclaren Thumb Region Port Austin Primary Care24 E Spring Street, Port Austin, MI 48467
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Physician Assistant
24 E SPRING ST
PORT AUSTIN, MI 48467

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 Thumb Region's NPI number?

The NPI number for Mclaren Thumb Region is 1558616086. It was assigned to this organization in the NPPES registry on July 20, 2012. The provider is also known as Port Austin Primary Care Clinic.

Where is Mclaren Thumb Region located?

Mclaren Thumb Region is located at 24 E Spring St, Port Austin, MI 48467. The listed phone number is (989) 738-5222.

What is Mclaren Thumb Region's specialty?

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

Does Mclaren Thumb Region hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1002149) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mclaren Thumb Region accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mclaren Thumb Region 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 Thumb Region was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.