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institution
419-647-4584.
Point of Service in Spencerville, Ohio
NPI 1750686770

419-647-4584. is a Point of Service based in Spencerville, OH. 419-647-4584. practices in Spencerville, OH. The NPI Number for 419-647-4584. is 1750686770 and holds a License No. 788776765655 (Ohio).

The current practice location address for 419-647-4584. is 102 S Broadway St, Spencerville, OH and can be reached out via phone at 614-582-9253.

Location: 102 S Broadway St, Spencerville, OH, 45887-1267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750686770
Provider Name
419-647-4584.
Credential
Provider Entity Type
Organization
Address
102 S Broadway St, Spencerville, OH, 45887-1267
Phone Number
614-582-9253
Fax Number
Provider Enumeration Date
01/23/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
574184689203 05 OH
institution
Provider Business Practice Location Address Details
Address
102 S Broadway St
City
Spencerville
State
Ohio
Zip
45887-1267
Phone Number
614-582-9253
Fax Number
person
Provider Business Mailing Address Details
Address
102 S Broadway St
City
Spencerville
State
Ohio
Zip
45887-1267
Phone Number
614-582-9253
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
788776765655 (Ohio)
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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