CHOCTAW MANAGEMENT SERVICES ENTERPRISE NPI 1679775308

NPI Information

  • NPI: 1679775308
  • Provider Name: CHOCTAW MANAGEMENT SERVICES ENTERPRISE
  • Classification: Military Health Care Provider - 171000000X
  • Entity Type: Organization
  • Address: 1172 KIRTS BLVD
    U.S. MEPS
    TROY, MI
    ZIP 48084
  • Phone: (248) 244-9131

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NPI Details

CHOCTAW MANAGEMENT SERVICES ENTERPRISE is a military health care provider in Troy, MI. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. CHOCTAW MANAGEMENT SERVICES ENTERPRISE NPI is 1679775308. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1172 KIRTS BLVD
U.S. MEPS
TROY, MI
ZIP 48084-846
Phone: (248) 244-9131

The provider's authorized official is Amy Humphrey .
The authorized official title is Program Coordinator and has the following contact phone number (877) 267-3728.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 8/22/2020.

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
1171000000XMilitary Health Care Provider4301037778MICHIGANYes

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: 11/21/2025

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