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MCLAREN BAY REGION
NPI 1629357090
Family Medicine in Prudenville, MI

Active since August 16, 2011
200 GRAND AVE, PRUDENVILLE, MI 48651(989) 366-1000(989) 366-1002 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mclaren Bay Region NPPES

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

MCLAREN BAY REGION (NPI 1629357090) is a healthcare organization registered as a family medicine in Prudenville, Michigan and active in the NPI registry since August 2011. The organization lists Danielle C Jacks Porter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629357090
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCLAREN BAY REGION
Location Address200 GRAND AVEPrudenville, MI 48651
Mailing Address200 Grand Ave, Po Box 679Prudenville, MI 48651-9571 · (989) 366-1000 · Fax (989) 366-1002
Phone(989) 366-1000
Fax(989) 366-1002
Organization SubpartNo
Authorized OfficialDanielle C Jacks PorterCfo · (989) 894-3838
Enumeration DateAugust 16, 2011
Last NPPES UpdateAugust 7, 2018
✔ NPI 1629357090 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
200 GRAND AVE, Prudenville, MI 48651
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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

Other Providers at the Same Location NPPES

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

TIFFANY R GILES
Community Health Worker
200 GRAND AVE
PRUDENVILLE, MI 48651
Roscommon County (893) 669-1669

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 1629357090. It was assigned to this organization in the NPPES registry on August 16, 2011.

Where is Mclaren Bay Region located?

Mclaren Bay Region is located at 200 Grand Ave, Prudenville, MI 48651. The listed phone number is (989) 366-1000.

What is Mclaren Bay Region's specialty?

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

When was this NPI record last updated?

The NPPES record for Mclaren Bay Region was last updated on August 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.