419-647-4584.

LBN: 419-647-4584.
419-647-4584. is an health care organization with primary practice located at 102 S Broadway St , Spencerville OH 45887-1267. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. 419-647-4584. can be contacted via phone (614) 582-9253, or through Bates, Cathy via phone (419) 647-9999.

Contact Information

Primary practice address
102 S Broadway St Spencerville OH 45887-1267
Phone: (614) 582-9253
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bates, Cathy
Phone: (419) 647-9999

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 788776765655 Ohio

Profile Details

NPI number 1750686770
LBN Legal business name 419-647-4584.
DBA Doing business as
Authorized official Bates, Cathy
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 23rd, 2011
Last updated Jan 23rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750686770 NPPES
Ohio MEDICAID 574184689203

Popular Providers