Medicaid Private Provider

LBN: Carestar
Medicaid Private Provider is an health care organization with primary practice located at 3035 Falcon Bridge Dr , Columbus OH 43232-5428. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Carestar can be contacted via phone (614) 860-9307, or through Canning, Renee Louise via phone (614) 860-9307.

Contact Information

Primary practice address
3035 Falcon Bridge Dr Columbus OH 43232-5428
Phone: (614) 860-9307
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Canning, Renee Louise Licensed Practical Nurse (LPN)
Phone: (614) 860-9307

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X RP008385 Ohio

Profile Details

NPI number 1942332069
LBN Legal business name Carestar
DBA Doing business as Medicaid Private Provider
Authorized official Canning, Renee Louise Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Mar 24th, 2008 - about 18 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 1942332069 NPPES
Ohio MEDICAID 2702418

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