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NPI 1538598115ActiveOrganization· Preferred Provider Organization· Mount Clemens, MI
Preferred Provider Organization in Mount Clemens, Michigan, registered in NPPES in November 2013. The authorized official on file is Jamie Bragg-Love Joy, Executive Director.
Overview
| NPI | 1538598115 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 5, 2013 |
| Last updated in NPPES | Nov 5, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 4704284704 | MI |
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 |
|---|
Other Preferred Provider Organization providers in Mount Clemens
- 1801137534