NPIMap

Organization Active NPI

Central Michigan University

  • Point of Service
  • Mt Pleasant, MI
National Provider Identifier
1508307273
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
2601000874 Issued in MI
Legal business name
CENTRAL MICHIGAN UNIVERSITY
Practice address
203 E Broomfield
Rose 145
Mt Pleasant, MI 48859-0001
Phone
(989) 774-6687
Fax
(989) 774-1095
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robin L Jones, AT, ATC
Title
Associate Athletic Trainer
Phone
(989) 774-6687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 2601000874 MI Primary

Addresses

Primary practice location

203 E Broomfield
Rose 145
Mt Pleasant, MI 48859-0001

Mailing address

1617 Fessenden Ave
Mt Pleasant, MI 48858-2137
Phone (989) 774-6687

National Provider Directory

National Provider Directory
Tax ID family
Central Michigan University8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

203 E Broomfield
Mount Pleasant, MI 48859
Phone (989) 774-6687

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1508307273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 FESSENDEN AVE",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582137",
            "telephone_number": "989-774-6687",
            "fax_number": "989-774-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E BROOMFIELD",
            "address_2": "ROSE 145",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-6687",
            "fax_number": "989-774-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MICHIGAN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSOCIATE ATHLETIC TRAINER",
        "authorized_official_telephone_number": "989-774-6687",
        "authorized_official_credential": "AT, ATC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": "2601000874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.