MERIDIAN HEALTH PLAN OF IOWA, INC.
NPI 1225310089
Health Maintenance Organization in Detroit, MI

NPI Status: Active since September 16, 2011

Contact Information

777 WOODWARD AVE
SUITE 600
DETROIT, MI
ZIP 48226
Phone: (313) 324-3700

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  • Organization
  • Health Maintenance Organization

About MERIDIAN HEALTH PLAN OF IOWA, INC.

This page provides the complete NPI Profile along with additional information for Meridian Health Plan Of Iowa, Inc., a provider established in Detroit, Michigan operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1225310089 assigned on September 2011. The practitioner's primary taxonomy code is 302R00000X with license number 3111 (IA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Michael Stines (Associate General Counsel)

NPI
1225310089
Provider Name
MERIDIAN HEALTH PLAN OF IOWA, INC.
Entity Type
Organization
Location Address
777 WOODWARD AVE SUITE 600 DETROIT, MI 48226
Location Phone
(313) 324-3700
Mailing Address
777 WOODWARD AVE SUITE 600 DETROIT, MI 48226
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2011
Last Update Date
09-16-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
3111
License State
IA
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL STINES

Authorized Official Title
ASSOCIATE GENERAL COUNSEL
Authorized Official Phone
(313) 324-3746

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225310089, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 6 + 1 + 0 + 0 + 1 + 6 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1225310089.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Health Maintenance Organization
777 WOODWARD AVE, SUITE 600
DETROIT, MI 48226
Pharmacist
777 WOODWARD AVE, 600
DETROIT, MI 48226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225310089, enumerated as an "organization" on September 16, 2011.

The provider is located at 777 WOODWARD AVE SUITE 600 DETROIT, MI 48226 and the phone number is (313) 324-3700.

Health Maintenance Organization with taxonomy code 302R00000X.