Michigan Medicaid lookup
One provider matched this Medicaid ID.
Michigan Medicaid ID 4084635 resolves to a single NPI record. Open the full profile for complete detail.
✓
Single match found
When a Medicaid ID maps to more than one NPI, this page shows a chooser to pick the right provider instead.
FF
NPI · 1306946637 · Active
Family Fare, LLC
Pharmacy · Gaylord, Michigan
NPI
1306946637
Medicaid (MI)
4084635
Taxonomy
333600000X
State
Michigan
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 2343452· Issued by OTHER ID NUMBER-COMMERCIAL NUMBER
Medicaid
- 4084635MI
Source: NPPES public registry.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.