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MORIAH INCORPORATED NPI 1013585405


NPI Information

NPI: 1013585405
Provider Name: MORIAH, INCORPORATED
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
29991 MITCHELL ST
SELFRIDGE ANGB, MI
ZIP 48045
Phone: (734) 677-0070
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MORIAH, INCORPORATED is a multi-specialty clinic center in Selfridge Angb, MI. MORIAH, INCORPORATED NPI is 1013585405. The provider is registered as an organization entity type.

The provider's business location address is:

29991 MITCHELL ST
SELFRIDGE ANGB, MI
ZIP 48045-957
Phone: (734) 677-0070
Fax: (734) 677-0890

The provider's authorized official is Tim Mucha .
The authorized official title is Compliance And Contracts Manager and has the following contact phone number (734) 677-0070.

The enumeration date for this NPI number is 6/14/2021 and was last updated on 6/14/2021.


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 License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM1300XClinic/CenterMulti-SpecialtyYes
3320700000XResidential Treatment Facility, Physical DisabilitiesNo

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.