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Icp Ppo, Llc
Preferred Provider Organization in South Bend, Indiana
NPI 1407443617

Icp Ppo, Llc is a Preferred Provider Organization based in Savannah, IN. Icp Ppo, Llc practices in South Bend, IN. The NPI Number for Icp Ppo, Llc is 1407443617 and holds a License No. (Indiana).

The current practice location address for Icp Ppo, Llc is 211 N Eddy St, South Bend, IN and can be reached out via phone at 574-234-8161.

Location: 211 N Eddy St, South Bend, IN, 31406-3396
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407443617
Provider Name
Icp Ppo, Llc
Credential
Provider Entity Type
Organization
Address
211 N Eddy St, South Bend, IN, 31406-3396
Phone Number
574-234-8161
Fax Number
Provider Enumeration Date
12/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
211 N Eddy St
City
South Bend
State
Indiana
Zip
46617-2808
Phone Number
574-234-8161
Fax Number
person
Provider Business Mailing Address Details
Address
211 N Eddy St
City
South Bend
State
Indiana
Zip
46617-2808
Phone Number
574-234-8161
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
()
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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