419-647-4584. – NPI #1750686770
Point of Service

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Health Care Provider Taxonomy Code for Point of Service

419-647-4584. is a managed care organization located in SPENCERVILLE, OH. NPPES has assigned the NPI number 1750686770 to 419-647-4584. on January 23, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 305S00000X from the Health Care Provider Taxonomy code set, which is classified as Point of Service.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 419-647-4584. below.

NPI Profile for
419-647-4584.

NPI Number
1750686770
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
419-647-4584.
Primary location
102 S BROADWAY ST
SPENCERVILLE, OH 45887-1267
Phone: (614) 582-9253 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - 419-647-4584. is subpart of another organization.
Authorized Official
CATHY BATES
STUDENT
Phone: (419) 647-9999
Updated
Identifiers

Identifiers for 419-647-4584.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH574184689203
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
305S00000X
- Point of Service (Primary)		 OH 788776765655

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.