Organization Active NPI

Pace Northeast Michigan

  • PACE Provider Organization
  • Alpena, MI
National Provider Identifier
1972476877
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
PACE NORTHEAST MICHIGAN
Practice address
2676 US Highway 23 S
Alpena, MI 49707-4620
Phone
(989) 358-4833
Fax
(989) 963-4968
NPI assigned
Sep 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Jeffery Meden
Title
Executive Director
Phone
(989) 204-8210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

2676 US Highway 23 S
Alpena, MI 49707-4620

Mailing address

2676 US Highway 23 S
Alpena, MI 49707-4620
Phone (989) 358-4833

National Provider Directory

National Provider Directory

Locations

2676 US Highway 23 S
Alpena, MI 49707
Phone (989) 358-4833

NPI Registry JSON

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1972476877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2676 US HIGHWAY 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074620",
            "telephone_number": "989-358-4833",
            "fax_number": "989-963-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 US HIGHWAY 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074620",
            "telephone_number": "989-358-4833",
            "fax_number": "989-963-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE NORTHEAST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "MEDEN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-204-8210"
    },
    "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 Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.