Independent Provider

LBN: Independent Provider
Independent Provider is an health care organization with primary practice located at 2273 Newlove Rd , S Charleston OH 45368-9732. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Preferred Provider Organization. Managed Care Organizations / Exclusive Provider Organization is the primary health care specialty. Independent Provider can be contacted via phone (937) 324-4438, or through Capper, Wendy Sue via phone (937) 324-4438.

Contact Information

Primary practice address
2273 Newlove Rd S Charleston OH 45368-9732
Phone: (937) 324-4438
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Capper, Wendy Sue
Phone: (937) 324-4438

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X SK307751 Ohio
Managed Care Organizations / Preferred Provider Organization 305R00000X SK307751 Ohio

Profile Details

NPI number 1821217308
LBN Legal business name Independent Provider
DBA Doing business as Independent Provider
Authorized official Capper, Wendy Sue
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 4 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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