OrganizationActive
Central Michigan University
NPI 1508307273 · Point of Service · Mt Pleasant, MI
Provider details
- NPI number
- 1508307273
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Robin Jones, Associate Athletic Trainer(989) 774-6687
- License
- 2601000874 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
203 E Broomfield
Rose 145
Mt Pleasant, MI 48859-0001
Phone: (989) 774-6687
Fax: (989) 774-1095
Approximate (ZIP-level) locationGet directions
Mailing address
1617 Fessenden Ave
Mt Pleasant, MI 48858-2137
Registry dates
- Enumerated
- 2017-03-15
- Last updated
- 2017-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.