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NPI Code Detail

MEDICARE: REGION IV AREA AGENCY ON AGING, INC

MEDICARE: REGION IV AREA AGENCY ON AGING, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003050188
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGION IV AREA AGENCY ON AGING, INC
Provider Business Mailing Address
First Line : 2900 LAKEVIEW AVE
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-2379
Country : US
Telephone Number : 269-983-0177
Fax Number : 269-983-0177
Provider Business Practice Location Address
First Line : 2900 LAKEVIEW AVE
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-2379
Country : US
Telephone Number : 269-983-0177
Fax Number :
Authorized Official
Title or Position : CEO
Name : CHRISTINE VANLANDINGHAM
Credential :
Telephone Number : 269-985-0103
Provider Enumeration Date : 04/21/2009
Last Update Date : 01/26/2026

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