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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Preferred Provider Organization |
305R00000X |
| NPI Number | 1093838880 |
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| LBN Legal business name | IVY CREEK OF ELMORE, LLC | ||||||||
| Authorized official | GORDON FAULK - (CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/09/2007 | ||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||
| Identifiers |
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IVY CREEK OF ELMORE, LLC
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IVY CREEK OF ELMORE, LLC