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IHA OLMA PRIMARY CARE RISK LLC NPI 1255802559


NPI Information

NPI: 1255802559
Provider Name: IHA OLMA PRIMARY CARE RISK LLC

Doing Business As: IHA LIVONIA PRIMARY CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 23D2221307

Address:
19000 ST. JOE'S PARKWAY
SUITE 200
LIVONIA, MI
ZIP 48152
Phone: (734) 213-3685
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IHA OLMA PRIMARY CARE RISK LLC is a primary care clinic center in Livonia, MI. IHA OLMA PRIMARY CARE RISK LLC NPI is 1255802559. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Iha Livonia Primary Care.

The provider's business location address is:

19000 ST. JOE'S PARKWAY
SUITE 200
LIVONIA, MI
ZIP 48152-079
Phone: (734) 213-3685
Fax: (734) 213-3686

The provider's authorized official is Cynthia A Elliott .
The authorized official title is President and has the following contact phone number (734) 327-0872.

The CLIA number assigned to this NPI record is 23D2221307 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2018 and was last updated on 12/15/2022.


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
1363L00000XNurse PractitionerNo
2207R00000XInternal MedicineNo
3363A00000XPhysician AssistantNo
4207Q00000XFamily MedicineNo
5261QP2300XClinic/CenterPrimary CareYes

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

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