Organization · Type 2 NPI

Independent Provider

Exclusive Provider Organization · South Charleston, OH

NPI number 1821217308 Active

Practice location

2273 Newlove Rd
South Charleston, OH 45368-9732

Mailing address

PO Box 427
South Charleston, OH 45368-0427

Specialties and licenses

TaxonomyCodeLicense
Exclusive Provider Organization Primary 302F00000XSK307751 (OH)
Preferred Provider Organization 305R00000XSK307751 (OH)

Exclusive Provider Organization: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay t…

About NPI 1821217308

Independent Provider's National Provider Identifier is 1821217308, issued on Apr 24, 2007. The primary taxonomy on file is Exclusive Provider Organization (302F00000X), and the practice location is in South Charleston, OH. The record was last updated on Sep 11, 2025.