Provider Demographics
NPI:1598133498
Name:INGHAM HEALTH PLAN CORPORATION
Entity Type:Organization
Organization Name:INGHAM HEALTH PLAN CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:NOYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-336-3778
Mailing Address - Street 1:3425 BELLE CHASE WAY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4252
Mailing Address - Country:US
Mailing Address - Phone:517-336-3778
Mailing Address - Fax:517-394-4590
Practice Address - Street 1:3425 BELLE CHASE WAY
Practice Address - Street 2:SUITE 1
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4252
Practice Address - Country:US
Practice Address - Phone:517-336-3779
Practice Address - Fax:517-336-3789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management