# MERIDIAN HEALTH PLAN OF MICHIGAN, INC.

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

## Provider details

- **NPI number:** 1215581715
- **Legal business name:** WELLCARE OF MERIDIAN HOLDING COMPANY
- **Authorized official:** MICHAEL W HABER (VICE PRESIDENT, SECRETARY)
- **Authorized official phone:** (813) 206-3252

## Contact information

- **Practice address:** 1 CAMPUS MARTIUS STE 700, DETROIT, MI 48226-5012
- **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:** 08/01/2019
- **Last updated:** 08/01/2019