Central Michigan University

LBN: Central Michigan University
Central Michigan University is an health care organization with primary practice located at 2981 Health Pkwy Suite B, Mount Pleasant MI 48858-9347. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Central Michigan University can be contacted via phone (989) 772-6880, or through Gronda, Kelly J via phone (989) 774-3334.

Contact Information

Primary practice address
2981 Health Pkwy Suite B Mount Pleasant MI 48858-9347
Phone: (989) 772-6880
Fax: (989) 772-6817
Website:
Map and Directions
Authorized official contact:
Name: Gronda, Kelly J
Phone: (989) 774-3334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Michigan

Profile Details

NPI number 1790058386
LBN Legal business name Central Michigan University
DBA Doing business as
Authorized official Gronda, Kelly J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2012
Last updated Oct 22nd, 2014 - 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 1790058386 NPPES
Michigan MEDICAID 4337963

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