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Our Summer Place,llc
Point of Service in Portsmouth, Virginia
NPI 1194839704

Our Summer Place,llc is a Point of Service based in Portsmouth, VA. Our Summer Place,llc practices in Portsmouth, VA. The NPI Number for Our Summer Place,llc is 1194839704 and holds a License No. 558 (Virginia).

The current practice location address for Our Summer Place,llc is 3511 Blaine St, Portsmouth, VA and can be reached out via phone at 757-483-4880 and via fax at 757-483-1578.

Location: 3511 Blaine St, Portsmouth, VA, 23701-0221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194839704
Provider Name
Our Summer Place,llc
Credential
Provider Entity Type
Organization
Address
3511 Blaine St, Portsmouth, VA, 23701-0221
Phone Number
757-483-4880
Fax Number
757-483-1578
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3511 Blaine St
City
Portsmouth
State
Virginia
Zip
23703-3115
Phone Number
757-483-4880
Fax Number
757-483-1578
person
Provider Business Mailing Address Details
Address
3511 Blaine St
City
Portsmouth
State
Virginia
Zip
23703-3115
Phone Number
757-483-4880
Fax Number
757-483-1578
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
558 (Virginia)
Definition
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.
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