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APPALACHIAN PRIMARY CARE NPI 1548331960


NPI Information

NPI: 1548331960
Provider Name: APPALACHIAN PRIMARY CARE
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1246 ASHLAND AVE
SUITE 102
ZANESVILLE, OH
ZIP 43701
Phone: (740) 454-3217
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APPALACHIAN PRIMARY CARE is a point of service in Zanesville, 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. APPALACHIAN PRIMARY CARE NPI is 1548331960. The provider is registered as an organization entity type.

The provider's business location address is:

1246 ASHLAND AVE
SUITE 102
ZANESVILLE, OH
ZIP 43701-861
Phone: (740) 454-3217
Fax: (740) 454-8134

The provider's authorized official is Carl Gordon Schowengerdt .
The authorized official title is Director and has the following contact phone number (740) 454-3217.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service35025730OHIOYes
2363LF0000XNurse PractitionerFamily35025730OHIOX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000349823OTHEROHIOANTHEM
2497345988004OTHEROHIOMEDICAL MUTUAL OF OHIO
30223887MEDICAIDOHIO

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: 5/5/2024

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