1518918069 NPI number — REGENTS OF THE UNIVERSITY OF MICHIGAN

Table of content: (NPI 1518918069)

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:
Provider Other Organization Name Type Code:
6
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".




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