MICHIGAN INFUSION SERVICES AND LICENSED HEALTHCARE
NPI 1164168126
Clinic/Center - Health Service in Plymouth, MI

Active since May 11, 2022
500 ROSS ST, PLYMOUTH, MI 48170(734) 341-7767 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michigan Infusion Services And Licensed Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN INFUSION SERVICES AND LICENSED HEALTHCARE (NPI 1164168126) is a healthcare organization registered as a health service in Plymouth, Michigan and active in the NPI registry since May 2022. The organization lists Kelly L Long, Associate Medical Director, as its authorized official.

NPPES Registry Identity

NPI1164168126
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMICHIGAN INFUSION SERVICES AND LICENSED HEALTHCARE
Location Address500 ROSS STPlymouth, MI 48170-2206
Mailing Address500 Ross StPlymouth, MI 48170-2206
Organization SubpartNo
Authorized OfficialKelly L LongAssociate Medical Director · (734) 341-7767
Enumeration DateMay 11, 2022
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1164168126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
500 ROSS ST, Plymouth, MI 48170

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
500 ROSS ST
PLYMOUTH, MI 48170
Physician Assistant (Medical)
500 ROSS ST
PLYMOUTH, MI 48170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michigan Infusion Services And Licensed Healthcare's NPI number?

The NPI number for Michigan Infusion Services And Licensed Healthcare is 1164168126. It was assigned to this organization in the NPPES registry on May 11, 2022.

Where is Michigan Infusion Services And Licensed Healthcare located?

Michigan Infusion Services And Licensed Healthcare is located at 500 Ross St, Plymouth, MI 48170. The listed phone number is (734) 341-7767.

What is Michigan Infusion Services And Licensed Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Michigan Infusion Services And Licensed Healthcare was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.