Active NPI
Pace Central Michigan
- PACE Provider Organization
- Mt Pleasant, MI
National Provider Identifier
1952918237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- PACE CENTRAL MICHIGAN
- Practice address
- 1750 E Bellows St
Mt Pleasant, MI 48858-3872 - Phone
- (989) 953-5800
- Fax
- (989) 953-5802
- NPI assigned
- Sep 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dayna Altom
- Title
- Executive Director
- Phone
- (989) 953-5805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Primary |
Addresses
Primary practice location
1750 E Bellows St
Mt Pleasant, MI 48858-3872
Mailing address
1750 E Bellows St
Mt Pleasant, MI 48858-3872
Phone (989) 953-5800
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2146231 | Pace Central Michigan | Certificate of waiver | Mar 25, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601424000000",
"number": "1952918237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 E BELLOWS ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488583872",
"telephone_number": "989-953-5800",
"fax_number": "989-953-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 E BELLOWS ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488583872",
"telephone_number": "989-953-5800",
"fax_number": "989-953-5802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACE CENTRAL MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A",
"authorized_official_last_name": "ALTOM",
"authorized_official_first_name": "DAYNA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "989-953-5805",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"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 Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.