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NPI Code Detail

MEDICARE: INGHAM HEALTH PLAN CORPORATION

MEDICARE: INGHAM HEALTH PLAN CORPORATION
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
1251300000XLocal Education Agency (LEA)
2251B00000XCase Management Agency
3251X00000XSupports Brokerage Agency

General Provider Information

NPI Number : 1598133498
Entity Type Code : Organization
Provider Name (Legal Business Name) : INGHAM HEALTH PLAN CORPORATION
Provider Business Mailing Address
First Line : 3425 BELLE CHASE WAY
Second Line : SUITE 1
City : LANSING
State : MI
Zip : 48911-4252
Country : US
Telephone Number : 517-336-3778
Fax Number : 517-394-4590
Provider Business Practice Location Address
First Line : 3425 BELLE CHASE WAY
Second Line : SUITE 1
City : LANSING
State : MI
Zip : 48911-4252
Country : US
Telephone Number : 517-336-3778
Fax Number : 517-394-4590
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : LORI LYN NOYER
Credential :
Telephone Number : 517-336-3778
Provider Enumeration Date : 09/09/2015
Last Update Date : 10/04/2024

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Directions to “INGHAM HEALTH PLAN CORPORATION ” Practice Location

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