Mclaren Macomb

LBN: Mclaren Macomb
Mclaren Macomb is an health care organization with primary practice located at 43900 Garfield Rd Ste. 121, Clinton Township MI 48038. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mclaren Macomb can be contacted via phone (586) 228-3880, or through Brisse, Thomas M via phone (586) 493-8083.

Contact Information

Primary practice address
43900 Garfield Rd Ste. 121 Clinton Township MI 48038
Fax: (586) 228-7351
Website:
Authorized official contact:
Name: Brisse, Thomas M

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1457303810
LBN Legal business name Mclaren Macomb
DBA Doing business as
Authorized official Brisse, Thomas M
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated May 23rd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457303810 NPPES
Michigan MEDICAID 4343414
Michigan MEDICAID 4463913
Michigan MEDICAID 4259179
Michigan MEDICAID 4790962
Michigan MEDICAID 4282103
Michigan MEDICAID 4414015

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