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NPI 1134970460ActiveOrganization· Contractor· Bay City, MI
Contractor in Bay City, Michigan, registered in NPPES in March 2024, part of Iron Gorilla Gym. The authorized official on file is Melissa Freeman, Principal Owner.
Overview
| NPI | 1134970460 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Iron Gorilla Gym |
| NPI issued | Mar 27, 2024 |
| Last updated in NPPES | Mar 27, 2024 |
| Certified by provider | Mar 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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