Provider Demographics
NPI:1891977484
Name:REGENTS OF THE UNIVERSITY OF MICHIGAN-REGIONAL ALLIANCE FOR HEA
Entity Type:Organization
Organization Name:REGENTS OF THE UNIVERSITY OF MICHIGAN-REGIONAL ALLIANCE FOR HEA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, COMMUNITY HEALTH SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:REDMER
Authorized Official - Suffix:
Authorized Official - Credentials:RN MS
Authorized Official - Phone:734-936-5506
Mailing Address - Street 1:PO BOX 223628
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-2628
Mailing Address - Country:US
Mailing Address - Phone:734-936-5506
Mailing Address - Fax:734-936-9616
Practice Address - Street 1:2800 STONE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-7434
Practice Address - Country:US
Practice Address - Phone:734-973-9167
Practice Address - Fax:734-973-9189
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE REGENTS OF THE UNIVERSITY OF MICHIGAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-05
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health