# MATERNAL INFANT HEALTH PROGRAM

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

## Provider details

- **NPI number:** 1316134976
- **Authorized official:** MR. MOSES L WALKER (INTERIM CEO/PRESIDENT)
- **Authorized official phone:** (269) 349-2641

## Contact information

- **Practice address:** 117 W PATERSON ST, KALAMAZOO, MI 49007-2557
- **Practice address phone:** (269) 349-2641
- **Mailing address:** 117 W PATERSON ST, KALAMAZOO, MI 49007-2557
- **Mailing address phone:** (269) 349-2641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | 430063404 | MI | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 09/13/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4784295 | — | MI |