Organization · Type 2 NPI
419-647-4584.
Point of Service · Spencerville, OH
NPI number
1750686770
Active
Practice location
102 S Broadway St
Spencerville, OH 45887-1267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 788776765655 (OH) |
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.
3 other providers at this address
About NPI 1750686770
419-647-4584.'s National Provider Identifier is 1750686770, issued on Jan 23, 2011. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Spencerville, OH. The record was last updated on Jan 23, 2011.