MCLAREN NORTHERN MICHIGAN MED CENTER - PETOSKEY SOUTH
NPI 1902419179
Clinic/Center - Rural Health in Petoskey, MI
About Mclaren Northern Michigan Med Center - Petoskey South NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCLAREN NORTHERN MICHIGAN MED CENTER - PETOSKEY SOUTH (NPI 1902419179) is a healthcare organization registered as a rural health in Petoskey, Michigan and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Tara Soules, Vp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 23D0964215
Mclaren Northern Michigan Medcenter-Petoskey South · Petoskey, MIOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1902419179. It was assigned to this organization in the NPPES registry on August 27, 2020. The provider is doing business as Mclaren Northern Michigan Med Center - Petoskey South.
Where is Mclaren Central Michigan located?
Mclaren Central Michigan is located at 1890 Us Highway 131 Unit 4, Petoskey, MI 49770. The listed phone number is (231) 487-2000.
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 23D0964215) is associated with this NPI, valid through January 5, 2027. 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 October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Med Center - Petoskey South · NPI 1902419179
Rural Health organization in Petoskey, Michigan. Organization record, active in the CMS NPPES registry since August 27, 2020.
## Identity
- **NPI:** 1902419179 (Entity type: Organization)
- **Enumerated:** August 27, 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:** 1890 US HIGHWAY 131 UNIT 4, Petoskey, MI 49770-8344
- **Phone:** (231) 487-2000
## Record status
- **NPPES last updated:** October 21, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902419179) · Data from the CMS NPPES public registry.