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GREAT LAKES MEDICAL PC
NPI 1942548946
Clinic/Center - Rural Health in Mount Pleasant, MI

Active since January 25, 2013
1111 S MISSION ST, MOUNT PLEASANT, MI 48858(989) 773-9700(989) 779-9701 Get Directions Write a Review

NPPES record last updated: December 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Lakes Medical Pc NPPES

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

GREAT LAKES MEDICAL PC (NPI 1942548946) is a healthcare organization registered as a rural health in Mount Pleasant, Michigan and active in the NPI registry since January 2013. The organization lists Richard Wayne Macauley, Owner, as its authorized official.

NPPES Registry Identity

NPI1942548946
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGREAT LAKES MEDICAL PC
Location Address1111 S MISSION STMount Pleasant, MI 48858-3944
Mailing Address611 Court St, Po Box 428West Branch, MI 48661-9390 · (989) 773-9700
Phone(989) 773-9700
Fax(989) 779-9701
Organization SubpartNo
Authorized OfficialRichard Wayne MacauleyOwner · (517) 449-2452
Enumeration DateJanuary 25, 2013
Last NPPES UpdateDecember 27, 2013
✔ NPI 1942548946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in MI · 04411G
1111 S MISSION ST, Mount Pleasant, MI 48858
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Other Identifiers 1

Medicare OSCAR/certification04411GMI

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 Great Lakes Medical PC's NPI number?

The NPI number for Great Lakes Medical PC is 1942548946. It was assigned to this organization in the NPPES registry on January 25, 2013.

Where is Great Lakes Medical PC located?

Great Lakes Medical PC is located at 1111 S Mission St, Mount Pleasant, MI 48858. The listed phone number is (989) 773-9700.

What is Great Lakes Medical PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Great Lakes Medical PC was last updated on December 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.