Organization · Type 2 NPI
Charleston Estates, LLC
Point of Service · Charleston, IL
NPI number
1407052079
Active
Practice location
300 Lincoln Highway Rd
Charleston, IL 61920-3884
Fax (217) 345-4096
Mailing address
78 Centennial Loop
Eugene, OR 97401-7900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | None listed |
Point of Service: 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.
About NPI 1407052079
Charleston Estates, LLC's National Provider Identifier is 1407052079, issued on Jun 21, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Charleston, IL. The record was last updated on May 14, 2008.