Amerigroup Community Care

LBN: Amerigroup New York, Llc
Amerigroup Community Care is an health care organization with primary practice located at 360 W 31St St 5Th Floor, New York NY 10001-2727. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Amerigroup New York, Llc can be contacted via phone (212) 563-5570, or through Haytaian, Peter D. via phone (212) 563-5570.

Contact Information

Primary practice address
360 W 31St St 5Th Floor New York NY 10001-2727
Fax: (212) 563-5975
Website:
Authorized official contact:
Name: Haytaian, Peter D.

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 04-008 New York

Profile Details

NPI number 1649254806
LBN Legal business name Amerigroup New York, Llc
DBA Doing business as Amerigroup Community Care
Authorized official Haytaian, Peter D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 30th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649254806 NPPES
New York MEDICAID 01617894
New York Other 04-008
New York Other 02644562

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