Aetna Provider Service

LBN: Aetna Provider Service
Aetna Provider Service is an health care organization with primary practice located at 8514 Arlen Drive , Blacklick OH 43004. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Aetna Provider Service can be contacted via phone (614) 946-5475, or through Sheriff, Memunatu via phone (614) 946-5475.

Contact Information

Primary practice address
8514 Arlen Drive Blacklick OH 43004
Phone: (614) 946-5475
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sheriff, Memunatu
Phone: (614) 946-5475

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 2366658 Ohio

Profile Details

NPI number 1770972143
LBN Legal business name Aetna Provider Service
DBA Doing business as
Authorized official Sheriff, Memunatu
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2015
Last updated Jan 22nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770972143 NPPES
Ohio MEDICAID 2366658

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