Icp Ppo, Llc
LBN: Icp Ppo, Llc
Icp Ppo, Llc is an health care organization with primary practice located at 211 N Eddy St , South Bend IN 46617-2808. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Managed Care Organizations / Preferred Provider Organization. Managed Care Organizations / Preferred Provider Organization is the primary health care specialty.
Icp Ppo, Llc can be contacted via phone (574) 234-8161, or through Macken - Marble, Kelly via phone (218) 393-1566.
Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | ||
Managed Care Organizations / Preferred Provider Organization | 305R00000X |
Profile Details
NPI number | 1407443617 |
---|---|
LBN Legal business name | Icp Ppo, Llc |
DBA Doing business as | |
Authorized official | Macken - Marble, Kelly |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 22nd, 2020 |
Last updated | Dec 22nd, 2020 - about 5 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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