1811144496 NPI number — THE REGENTS OF THE UNIVERSITY OF MICHIGAN

Table of content: (NPI 1811144496)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811144496 NPI number — THE REGENTS OF THE UNIVERSITY OF MICHIGAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE 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:
UM NURSE MANAGED CENTERS/NORTH CAMPUS
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:
1811144496
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2364 BISHOP
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANN ARBOR
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48105
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-647-5167
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2364 BISHOP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-647-1636
Provider Business Practice Location Address Fax Number:
734-763-9634
Provider Enumeration Date:
08/26/2008

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNSON
Authorized Official First Name:
J
Authorized Official Middle Name:
FABIANA
Authorized Official Title or Position:
DIRECTOR PROFESSIONAL FEE BILLING
Authorized Official Telephone Number:
734-647-5167

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  4704106646 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 4704169272 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LF0000X , with the licence number: 4704134489 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 4704192578 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 4704196737 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 4704206913 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 4704121969 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1871621078 . This is a "NPI NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1316056005 . This is a "NPI NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1083708200 . This is a "NPI NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1962509539 . This is a "NPI NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1265589626 . This is a "NPI NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1053589325 . This is a "NPI NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1104935824 . This is a "NPI NUMBER" identifier . This identifiers is of the category "OTHER".




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