Physicians Provider Services,Inc

LBN: Physicians Provider Services,Inc
Physicians Provider Services,Inc is an health care organization with primary practice located at 16603 Harvard Ave , Cleveland OH 44128-2203. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Physicians Provider Services,Inc can be contacted via phone (216) 921-5222, or through Jimerson, Andrew via phone (216) 921-5222.

Contact Information

Primary practice address
16603 Harvard Ave Cleveland OH 44128-2203
Phone: (216) 921-5222
Fax: (216) 921-6421
Website:
Map and Directions
Authorized official contact:
Name: Jimerson, Andrew Doctor of Medicine (MD)
Phone: (216) 921-5222

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 35041190J Ohio

Profile Details

NPI number 1609053107
LBN Legal business name Physicians Provider Services,Inc
DBA Doing business as
Authorized official Jimerson, Andrew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2008
Last updated Sep 26th, 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 1609053107 NPPES
Ohio MEDICAID 2183622
Ohio MEDICAID 0414439

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