# MERIDIAN HEALTH PLAN OF MICHIGAN, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WELLCARE OF MICHIGAN HOLDING COMPANY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043865249
- **Legal business name:** WELLCARE OF MICHIGAN HOLDING COMPANY
- **Authorized official:** MICHAEL W HABER (VICE PRESIDENT, SECRETARY)
- **Authorized official phone:** (813) 206-3252

## Contact information

- **Practice address:** 777 WOODWARD AVE STE 600, DETROIT, MI 48226-3589
- **Practice address phone:** (888) 773-2647
- **Mailing address:** 8735 HENDERSON RD, TAMPA, FL 33634-1143
- **Mailing address phone:** (813) 206-3252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2019
- **Last updated:** 08/05/2019