Choctaw Management Services Enterprise

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

4301037778 Issued in MI

Legal business name

CHOCTAW MANAGEMENT SERVICES ENTERPRISE

Practice address

1172 Kirts Blvd
U.S. Meps
Troy, MI 48084-4846

Phone

(248) 244-9131

NPI assigned

Jun 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Amy Humphrey

Title

Program Coordinator

Phone

(877) 267-3728

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679775308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 MAYFAIR DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842601",
            "telephone_number": "248-649-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 KIRTS BLVD",
            "address_2": "U.S. MEPS",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844846",
            "telephone_number": "248-244-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCTAW MANAGEMENT SERVICES ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "877-267-3728",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Military Health Care Provider",
            "state": "MI",
            "license": "4301037778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Chioini, NTP. RWP-1
• Mohammad Muhsin Chisti, MD
• Anne Marie Chmielewski, OTR
• Carrie Chmielewski, CRNA
• Mark A. Chmielinski, RRT, LRCP
• Joshua Choi
• Choices Insight Counseling, L.L.C.
• Fabiha Choudhury
• Xenia Maria Chovich
• Ce'Erica Chriss

• Military Health Care Provider in Troy, MI
• Providers in Troy, MI by specialty
• Military Health Care Provider in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.