Organization · Type 2 NPI

Icp Ppo, LLC

Preferred Provider Organization · South Bend, IN

NPI number 1407443617 Active

Practice location

211 N Eddy St
South Bend, IN 46617-2808

Call (574) 234-8161 Map

Mailing address

413 W Montgomery Xrd Ste 602
Savannah, GA 31406-3396

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Preferred Provider Organization Primary 305R00000XNone listed

Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

125 other providers at this address

About NPI 1407443617

Icp Ppo, LLC's National Provider Identifier is 1407443617, issued on Dec 22, 2020. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in South Bend, IN. The record was last updated on Dec 22, 2020.