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CARRIAGE COURT WASHINGTON COURTHOUSE LLC NPI 1174728059


NPI Information

NPI: 1174728059
Provider Name: CARRIAGE COURT WASHINGTON COURTHOUSE, LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
500 N GLENN AVE
WASHINGTON COURT HOUSE, OH
ZIP 43160
Phone: (740) 333-3434
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CARRIAGE COURT WASHINGTON COURTHOUSE, LLC is a point of service in Washington Court House, OH. The provider is 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. CARRIAGE COURT WASHINGTON COURTHOUSE, LLC NPI is 1174728059. The provider is registered as an organization entity type.

The provider's business location address is:

500 N GLENN AVE
WASHINGTON COURT HOUSE, OH
ZIP 43160-713
Phone: (740) 333-3434
Fax: (740) 333-3435

The provider's authorized official is John Holtz .
The authorized official title is Controller and has the following contact phone number (541) 747-3373.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 5/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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