Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Great Lakes Medical PC

Rural Health Clinic/Center in Gladwin, MI · enumerated 2012 · authorized official Richard Macauley, Agent.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679845671

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Great Lakes Medical PC

Other name <Unavail>

Practice address 1277 E Cedar Avenue, Suite A, Gladwin, MI, 48624

Phone (989) 426-1100

Fax (989) 426-1400

Enumeration date Feb 7, 2012

Last updated in NPPES Aug 27, 2012

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License 4301042308 (MI) Secondary

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Richard Macauley

Title Agent

Phone (989) 516-4317

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-08-27. Verify at npiregistry.cms.hhs.gov.

Where is Great Lakes Medical PC located?

The practice location on file with NPPES is in Gladwin, MI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-27.