CARNATION CLINIC INC NPI 1114092814

NPI Information

NPI: 1114092814
Provider Name: CARNATION CLINIC INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1401 S ARCH AVE
ALLIANCE, OH
ZIP 44601
Phone: (330) 821-0201
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CARNATION CLINIC INC is a multi-specialty clinic center in Alliance, OH. CARNATION CLINIC INC NPI is 1114092814. The provider is registered as an organization entity type.

The provider's business location address is:

1401 S ARCH AVE
ALLIANCE, OH
ZIP 44601-202
Phone: (330) 821-0201
Fax: (330) 821-1924

The provider's authorized official is Rasario Bautista .
The authorized official title is Administrator Mgr and has the following contact phone number (330) 821-0201.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 6/9/2010.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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
1	127480600	OTHER	OHIO	FEDERAL EMPLOYEE BWC
2	=========	OTHER	OHIO	INTEGRATED HEALTH PLAN
3	=========	OTHER	OHIO	MULTIPLAN
4	=========	OTHER	OHIO	COVENTRY HEALTH PLAN
5	=========	OTHER	OHIO	HUMANA
6	=========	OTHER	OHIO	INTERPLAN HEALTH GROUP
7	0103640	MEDICAID	OHIO
8	=========	OTHER	OHIO	EMERALD HEALTH
9	=========	OTHER	OHIO	PRIMARY HEALTH CARE SERVI
10	9271071	MEDICARE PIN	OHIO
11	=========	OTHER	OHIO	CHOICE CARE PPO
12	=========	OTHER	OHIO	INTERNATIONAL INS RESOURC
13	=========	OTHER	OHIO	AULTCARE
14	=========	OTHER	OHIO	CIGNA
15	=========	OTHER	OHIO	DIRECT CARE AMERICA
16	CK0913	OTHER	OHIO	RAILROAD MEDICARE
17	=========	OTHER	OHIO	FIRST HEALTH
18	=========	OTHER	OHIO	GREAT WEST HEALTH
19	=========	OTHER	OHIO	MAIL HANDLERS
20	0427160001	MEDICARE NSC	OHIO

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

NPI Synchronization or Removal

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