1518918069 NPI number — REGENTS OF THE UNIVERSITY OF MICHIGAN

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518918069 NPI number — REGENTS OF THE UNIVERSITY OF MICHIGAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REGENTS OF THE UNIVERSITY OF MICHIGAN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WHEELCHAIR SEATING SERVICE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518918069
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/09/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 223200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15251-2200
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-971-8286
Provider Business Mailing Address Fax Number:
734-971-8922

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2850 S INDUSTRIAL HWY
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48104-6796
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-971-8286
Provider Business Practice Location Address Fax Number:
734-971-8922
Provider Enumeration Date:
05/12/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MILLER
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
CHRISTOPHER
Authorized Official Title or Position:
PE SPECIALIST
Authorized Official Telephone Number:
734-936-3568

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0991304 . This is a "HEALTH PLUS OF MICHIGAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 3175775722 . This is a "HEALTH ALLIANCE PLAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 54OH104250 . This is a "BCBS OF MICHIGAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 487666400 . This is a "FEDERAL OFFICE OF WORKER" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 5808046 . This is a "BENESIGHT" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: DM810014 . This is a "MCARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 487666400 . This is a "FIRST HEALTH" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 5022014 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 7266723 . This is a "AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000000007181 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 037559000307 . This is a "PLANNED ADMINISTRATORS" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 50085 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1434 . This is a "NORTHWOOD" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 4375679 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1434 . This is a "AAA NORTHWOOD" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".