# MERIDIAN HEALTH PLAN OF IOWA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225310089
- **Authorized official:** MICHAEL STINES (ASSOCIATE GENERAL COUNSEL)
- **Authorized official phone:** (313) 324-3746

## Contact information

- **Practice address:** 777 WOODWARD AVE, SUITE 600, DETROIT, MI 48226-3536
- **Practice address phone:** (313) 324-3700
- **Mailing address:** 777 WOODWARD AVE, SUITE 600, DETROIT, MI 48226-3536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 3111 | IA | Yes |

## Other

- **Enumeration date:** 09/16/2011
- **Last updated:** 09/16/2011