MICHIGAN STATE UNIVERSITY NPI 1770646028

NPI Information

NPI: 1770646028
Provider Name: MICHIGAN STATE UNIVERSITY
Classification: Clinic/Center - 261QS1000X
Specialization: Student Health
Entity Type: Organization
CLIA Number: 23D0650871
Address: 463 E CIRCLE DR
EAST LANSING, MI
ZIP 48824
Phone: (517) 353-4660

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NPI Details

MICHIGAN STATE UNIVERSITY is a student health clinic center in East Lansing, MI. MICHIGAN STATE UNIVERSITY NPI is 1770646028. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

463 E CIRCLE DR
EAST LANSING, MI
ZIP 48824-500
Phone: (517) 353-4660

The provider's authorized official is Relanda Price .
The authorized official title is Lead Enrollment Coordinator and has the following contact phone number (517) 884-2976.

The CLIA number assigned to this NPI record is 23D0650871 - other - student health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/18/2006 and was last updated on 3/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	122300000X	Dentist		No
2	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		No
3	207P00000X	Emergency Medicine		No
4	207Q00000X	Family Medicine		No
5	207QS0010X	Family Medicine	Sports Medicine	No
6	207R00000X	Internal Medicine		No
7	207X00000X	Orthopaedic Surgery		No
8	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	No
9	2084P0800X	Psychiatry & Neurology	Psychiatry	No
10	2085R0202X	Radiology	Diagnostic Radiology	No
11	225100000X	Physical Therapist		No
12	261QS1000X	Clinic/Center	Student Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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