GRAND TRAVERSE PAVILIONS
NPI 1649304270
Clinic/Center - Rehabilitation in Traverse City, MI

Active since March 15, 2007CLIA 23D0713205 · Waiver
1000 PAVILIONS CIRCLE, TRAVERSE CITY, MI 49684(231) 932-3000 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Traverse Pavilions NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND TRAVERSE PAVILIONS (NPI 1649304270) is a healthcare organization registered as a rehabilitation in Traverse City, Michigan and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Emily Ball, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649304270
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameGRAND TRAVERSE PAVILIONS
Location Address1000 PAVILIONS CIRCLETraverse City, MI 49684
Mailing Address1000 Pavilions CircleTraverse City, MI 49684 · (231) 932-3000
Organization SubpartNo
Authorized OfficialEmily BallBusiness Office Manager · (231) 932-3063
Enumeration DateMarch 15, 2007
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
NPI 1649304270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
1000 PAVILIONS CIRCLE, Traverse City, MI 49684

Other Identifiers 1

Other30395Blue Cross Number

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0713205

Grand Traverse Pavilions Grand Traverse Medical Care · Traverse City, MI
Active · expires Aug 31, 2026
CLIA Number23D0713205
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGerard Bodalski
Laboratory Phone(231) 932-3000
Laboratory LocationGrand Traverse Pavilions Grand Traverse Medical Care1000 Pavilions Circle, Traverse City, MI 49684
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Geriatric Medicine)
1000 PAVILIONS CIRCLE, MARK A JACKSON MD PLC
TRAVERSE CITY, MI 49684
Physical Therapist
1000 PAVILIONS CIRCLE
TRAVERSE CITY, MI 49684
Skilled Nursing Facility
1000 PAVILIONS CIRCLE
TRAVERSE CITY, MI 49684

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Traverse Pavilions's NPI number?

The NPI number for Grand Traverse Pavilions is 1649304270. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Grand Traverse Pavilions located?

Grand Traverse Pavilions is located at 1000 Pavilions Circle, Traverse City, MI 49684. The listed phone number is (231) 932-3000.

What is Grand Traverse Pavilions's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Does Grand Traverse Pavilions hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0713205) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grand Traverse Pavilions accept?

Health plans from Priority Health list Grand Traverse Pavilions as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand Traverse Pavilions was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.