Mclaren Macomb

LBN: Mclaren Macomb
Mclaren Macomb is an health care organization with primary practice located at 32743 23 Mile Rd , Chesterfield MI 48047. 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) 725-9600, or through Brisse, Thomas M via phone (586) 493-8083.

Contact Information

Primary practice address
32743 23 Mile Rd Chesterfield MI 48047
Phone: (586) 725-9600
Fax: (586) 725-7170
Website:
Map and Directions
Authorized official contact:
Name: Brisse, Thomas M
Phone: (586) 493-8083

Health care specialties

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

Profile Details

NPI number 1104878636
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 8 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 1104878636 NPPES
Michigan MEDICAID 4853249
Michigan MEDICAID 4248827
Michigan MEDICAID 4344028
Michigan MEDICAID 4414033
Michigan MEDICAID 4463904
Michigan MEDICAID 3493533
Michigan MEDICAID 4283020
Michigan MEDICAID 4849193

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