Independent Provider

LBN: Independent Provider
Independent Provider is an health care organization with primary practice located at 3664 Larkwell Way , Columbus OH 43232-3611. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Independent Provider can be contacted via phone (614) 571-5191, or through Lee, Tasshia Renee via phone (614) 571-5191.

Contact Information

Primary practice address
3664 Larkwell Way Columbus OH 43232-3611
Phone: (614) 571-5191
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Tasshia Renee
Phone: (614) 571-5191

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 2870880 Ohio

Profile Details

NPI number 1023423571
LBN Legal business name Independent Provider
DBA Doing business as Independent Provider
Authorized official Lee, Tasshia Renee
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2014
Last updated Jun 24th, 2014 - about 10 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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