MCLAREN PORT HURON (NPI# 1982685384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982685384 |
| Entity Type | Organization |
| Organization Name | MCLAREN PORT HURON |
| Practice Address |
1221 Pine Grove Ave Port Huron MI 48060-3511 |
| Practice Telephone | 8109875000 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | BRIDGET SHOLTIS (VP/CFO) |
| Authorized Official Telephone | 8109893749 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | OPC | 7509106270 | 01 |
| MI | 30-1557730 | 05 | |
| MI | 40-5171682 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619355930 | Mclaren Port Huron | Family Medicine | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2015-05-07 |
| 1467788018 | Mclaren Port Huron | Counselor | 1209 Richardson St, Port Huron, MI 48060-3548 | 2009-11-02 |
| 1386888170 | Mclaren Port Huron | Social Worker | 1209 Richardson St, Port Huron, MI 48060-3548 | 2009-04-24 |
| 1669624318 | Mclaren Port Huron | Nurse Anesthetist, Certified Registered | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2008-10-14 |
| 1780756627 | Mclaren Port Huron | Social Worker | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2006-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MCLAREN PORT HURON | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 |
| Street Address |
1221 PINE GROVE AVE |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528686540 | Huron Emergency Medicine | Emergency Medicine | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2020-07-07 |
| 1427675768 | Kelsey Crampton | Registered Nurse | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2020-07-02 |
| 1285279919 | Hospitalist Medicine Physicians of Michigan - Port Huron, Pllc | Internal Medicine | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2019-11-18 |
| 1275175044 | Nancy Trombley Henry | Social Worker | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2019-10-14 |
| 1316404403 | Marko Jovanovski | Physician Assistant | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2019-02-25 |
| 1972076412 | Scott Daniel Fye | Nurse Anesthetist, Certified Registered | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2019-01-08 |
| 1063984615 | Patrina Lupo | Nurse Anesthetist, Certified Registered | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2018-12-20 |
| 1760966881 | Timothy Barkach | Physician Assistant | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2018-09-25 |
| 1457830531 | Laura Dahnke | Dietitian, Registered | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2018-08-09 |
| 1043702772 | Meghan Kinter | Physician Assistant | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2018-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306227764 | Prime Healthcare Services-port Huron LLC | General Acute Care Hospital | 2601 Electric Ave, Port Huron, MI 48060-6587 | 2015-06-11 |
| 1255346961 | St. Joseph Mercy Port Hurton | General Acute Care Hospital | 2601 Electric Ave, Port Huron, MI 48060-6518 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899194 | Ascension Michigan Employer Solutions LLC | General Acute Care Hospital | 5555 Conner St Ste 2818, Detroit, MI 48213-3448 | 2020-07-30 |
| 1295246106 | Henry Ford Health Sytems | General Acute Care Hospital | 18800 Hubbard Dr, Dearborn, MI 48126-4305 | 2017-10-18 |
| 1972043081 | Melissa Kovaleski | General Acute Care Hospital | 1029 Chestnut Ln, South Lyon, MI 48178-1896 | 2017-03-08 |
| 1699125922 | Sarah Finlay | General Acute Care Hospital | 5333 Mcauley Dr Ste 40001, Ypsilanti, MI 48197-1014 | 2016-06-17 |
| 1528412517 | Bess Marie Connors | General Acute Care Hospital | 1506 Pontiac Trl, Ann Arbor, MI 48105-1719 | 2016-04-16 |
| 1093198624 | The Memorial Hospital | General Acute Care Hospital | 826 W King St # 1-117, Owosso, MI 48867-2120 | 2015-07-01 |
| 1326428285 | Ipc Hospitalist Company | General Acute Care Hospital | 1628 Huntwood Park Ct, West Bloomfield, MI 48324-3998 | 2015-06-05 |
| 1689088304 | Florida Hospital | General Acute Care Hospital | 7922 Barrie, Dearborn, MI 48126 | 2014-06-20 |
| 1720491954 | University of Michigan | General Acute Care Hospital | 1515 E. Hospital Drive, Towsley Center, 1218, Spc 5222, Ann Arbor, MI 48109-5222 | 2014-06-05 |
| 1366866956 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St Ste M-425, Kalamazoo, MI 49007-5354 | 2014-02-18 |
| Find all providers with the same taxonomy | ||||
| City | PORT HURON |
| Zip Code | 48060 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.