| Mclaren Northern Michigan | |
|
748 S Main St Cheboygan MI 49721-2220 | |
| (231) 627-5601 | |
| Not Available |
| Full Name | Mclaren Northern Michigan |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 748 S Main St, Cheboygan, Michigan |
| Authorized Official Name and Position | Michael Prusaitis (CFO) |
| Authorized Official Contact | 5594503375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclaren Northern Michigan 748 S Main St Cheboygan MI 49721-2220 Ph: (231) 627-5601 | Mclaren Northern Michigan 748 S Main St Cheboygan MI 49721-2220 Ph: (231) 627-5601 |
| NPI Number | 1336897735 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/15/2022 |
| Certification Date | 03/15/2022 |
| Medicare PECOS PAC ID | 9931018181 |
|---|---|
| Medicare Enrollment ID | O20230926000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336897735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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