NPI 1003026709

Healthsource INC

Organisation Health Maintenance Organization Detroit, MI

Practice location

Address: 4707 Saint Antoine St Suite G20, Detroit, MI 48201-1427
Phone: (800) 543-0161
Mailing address: PO Box 44290, Detroit, MI 48244-0290

Authorised official

Name: Sabah Velasco
Title: Manager of Claims and Technology
Phone: (313) 966-8467

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Michigan →

Registry record

NPI: 1003026709
Entity type: Organization
NPI issued: 23 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.