MCLAREN CENTRAL MICHIGAN
NPI 1770105652
Clinic/Center - Rural Health in Standish, MI

Active since May 13, 2020CLIA 23D2103558 · Waiver
805 W CEDAR ST, STANDISH, MI 48658(989) 846-4521(989) 846-3546 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mclaren Central Michigan NPPES

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

MCLAREN CENTRAL MICHIGAN (NPI 1770105652) is a healthcare organization registered as a rural health in Standish, Michigan and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Tara Soules, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1770105652
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMCLAREN CENTRAL MICHIGAN
Location Address805 W CEDAR STStandish, MI 48658-9526
Mailing Address1221 South DrMt Pleasant, MI 48858-3257 · (989) 772-6700
Fax(989) 846-3546
Organization SubpartNo
Authorized OfficialTara SoulesVp/cfo · (989) 772-6818
Enumeration DateMay 13, 2020
NPPES CertifiedMay 13, 2020
NPI 1770105652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
805 W CEDAR ST, Standish, MI 48658

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 23D2103558

Mclaren Central Michigan Dba Mclaren Bay - Standish · Standish, MI
Active · expires Oct 14, 2027
CLIA Number23D2103558
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorMandhir Jamwal
Laboratory Phone(989) 864-2600
Laboratory LocationMclaren Central Michigan Dba Mclaren Bay - Standish4489 M-61, Standish, MI 48658
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
805 W CEDAR ST
STANDISH, MI 48658
Physician Assistant
805 W CEDAR ST
STANDISH, MI 48658
Family Medicine
805 W CEDAR ST
STANDISH, MI 48658
Physician Assistant
805 W CEDAR ST
STANDISH, MI 48658
Emergency Medicine
805 W CEDAR ST
STANDISH, MI 48658
Nurse Practitioner
805 W CEDAR ST
STANDISH, MI 48658
Specialist
805 W CEDAR ST
STANDISH, MI 48658
Internal Medicine
805 W CEDAR ST
STANDISH, MI 48658

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 1770105652. It was assigned to this organization in the NPPES registry on May 13, 2020.

Where is Mclaren Central Michigan located?

Mclaren Central Michigan is located at 805 W Cedar St, Standish, MI 48658. The listed phone number is (989) 846-4521.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2103558) is associated with this NPI, valid through October 14, 2027. 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 Central Michigan was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.