Central Michigan University

LBN: Central Michigan University
Central Michigan University is an health care organization with primary practice located at 2981 Health Pkwy Suite A, Mount Pleasant MI 48858-9347. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Central Michigan University can be contacted via phone (989) 953-4002, or through Simmons, Paul B via phone (989) 953-4002.

Contact Information

Primary practice address
2981 Health Pkwy Suite A Mount Pleasant MI 48858-9347
Fax: (989) 953-7143
Website:
Authorized official contact:
Name: Simmons, Paul B Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301028129 Michigan

Profile Details

NPI number 1558709493
LBN Legal business name Central Michigan University
DBA Doing business as
Authorized official Simmons, Paul B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2013
Last updated Jun 13th, 2013 - about 11 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 1558709493 NPPES
Michigan MEDICAID 104574378
Michigan Other 0C71067

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