Provider Demographics
NPI:1518918069
Name:REGENTS OF THE UNIVERSITY OF MICHIGAN
Entity Type:Organization
Organization Name:REGENTS OF THE UNIVERSITY OF MICHIGAN
Other - Org Name:WHEELCHAIR SEATING SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-936-3568
Mailing Address - Street 1:PO BOX 223200
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-2200
Mailing Address - Country:US
Mailing Address - Phone:734-971-8286
Mailing Address - Fax:734-971-8922
Practice Address - Street 1:2850 S INDUSTRIAL HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-6796
Practice Address - Country:US
Practice Address - Phone:734-971-8286
Practice Address - Fax:734-971-8922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0991304OtherHEALTH PLUS OF MICHIGAN
MI3175775722OtherHEALTH ALLIANCE PLAN
MI54OH104250OtherBCBS OF MICHIGAN
KY487666400OtherFEDERAL OFFICE OF WORKER
CO5808046OtherBENESIGHT
MIDM810014OtherMCARE
AZ487666400OtherFIRST HEALTH
TX5022014OtherUNITED HEALTHCARE
TX7266723OtherAETNA
MI000000007181Medicaid
SC037559000307OtherPLANNED ADMINISTRATORS
MI50085Medicaid
MI1434OtherNORTHWOOD
MI4375679Medicaid
MI1434OtherAAA NORTHWOOD
TX7266723OtherAETNA
MIDM810014OtherMCARE
MI000000007181Medicaid
MI0991304OtherHEALTH PLUS OF MICHIGAN
MI1434OtherNORTHWOOD