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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 | |||
Specialist |
174400000X |
| NPI Number | 1407443617 |
| LBN Legal business name | ICP PPO, LLC |
| Authorized official | KELLY MACKEN - MARBLE - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/22/2020 |
| Last updated | 12/22/2020 - About 5 years ago |
| Identifiers | n/a |
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ICP PPO, LLC
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