CARRIAGE COURT MARYSVILLE LLC NPI 1457556334

NPI Information

CARRIAGE COURT MARYSVILLE, LLC is a point of service in Marysville, 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 MARYSVILLE, LLC NPI is 1457556334. The provider is registered as an organization entity type.

The provider's business location address is:

717 S WALNUT ST
MARYSVILLE, OH
ZIP 43040-639
Phone: (937) 642-2202
Fax: (937) 642-2207

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:

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