# MID-STATE HEALTH NETWORK

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

## Provider details

- **NPI number:** 1578096921
- **Authorized official:** JOSEPH SEDLOCK (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (517) 253-7525

## Contact information

- **Practice address:** 530 W IONIA ST, SUITE F, LANSING, MI 48933-1062
- **Practice address phone:** (517) 253-7525
- **Mailing address:** 530 W IONIA ST, SUITE F, LANSING, MI 48933-1062

## Taxonomy

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

## Other

- **Enumeration date:** 04/04/2017
- **Last updated:** 04/04/2017