419-647-4584. is a point of service in Spencerville, 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. 419-647-4584. NPI is 1750686770. The provider is registered as an organization entity type.
The provider's business location address is:
102 S BROADWAY ST
SPENCERVILLE, OH
ZIP 45887-267
Phone: (614) 582-9253
The provider's authorized official is Cathy Bates .
The authorized official title is Student and has the following contact phone number (419) 647-9999.
The enumeration date for this NPI number is 1/23/2011 and was last updated on 1/23/2011.