Independentprovider

LBN: Independentprovider
Independentprovider is an health care organization with primary practice located at 11501 Mayfield Rd , Cleveland OH 44106-5942. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Independentprovider can be contacted via phone (216) 231-9682, or through Scott, Tamea Nicole via phone (216) 322-8018.

Contact Information

Primary practice address
11501 Mayfield Rd Cleveland OH 44106-5942
Phone: (216) 231-9682
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Scott, Tamea Nicole
Phone: (216) 322-8018

Health care specialties

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

Profile Details

NPI number 1548390917
LBN Legal business name Independentprovider
DBA Doing business as
Authorized official Scott, Tamea Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 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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