Organization Active NPI

Pace Central Michigan

  • PACE Provider Organization
  • Mt Pleasant, MI
National Provider Identifier
1952918237
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
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

Updated by the provider on Sep 30, 2020

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2146231Pace Central Michigan1750 E Bellows, Mount Pleasant, MI 48858Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.