Provider Services Llc

LBN: Provider Services Llc
Provider Services Llc is an health care organization with primary practice located at 3071 Dunbarton Ave Nw , Canton OH 44708-1818. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Provider Services Llc can be contacted via phone (330) 605-4541, or through Coss, Susan B via phone (330) 605-4541.

Contact Information

Primary practice address
3071 Dunbarton Ave Nw Canton OH 44708-1818
Phone: (330) 605-4541
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coss, Susan B Doctor of Medicine (MD)
Phone: (330) 605-4541

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X

Profile Details

NPI number 1407363849
LBN Legal business name Provider Services Llc
DBA Doing business as
Authorized official Coss, Susan B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2018
Last updated Jan 8th, 2018 - about 8 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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