MORENCI MEDICAL ASSOC PC NPI 1891983805

NPI Information

  • NPI: 1891983805
  • Provider Name: MORENCI MEDICAL ASSOC PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 23D0949873
  • Address: 240 W MAIN ST
    MORENCI, MI
    ZIP 49256
  • Phone: (517) 458-6848

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NPI Details

MORENCI MEDICAL ASSOC PC is a family medicine in Morenci, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MORENCI MEDICAL ASSOC PC NPI is 1891983805. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

240 W MAIN ST
MORENCI, MI
ZIP 49256-455
Phone: (517) 458-6848
Fax: (517) 458-7614

The provider's authorized official is Shivaprasad K Shetty .
The authorized official title is President and has the following contact phone number (517) 458-6848.

The CLIA number assigned to this NPI record is 23D0949873 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 2/6/2008.

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
1207Q00000XFamily Medicine062948MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F98409MEDICARE UPINMICHIGAN

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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