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Contact Information

PHYSICIANS PROVIDER SERVICES,INC
16603 HARVARD AVE
CLEVELAND, OH44128-2203
 Phone: 216-921-5222
 Fax: 216-921-6421
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for PHYSICIANS PROVIDER SERVICES,INC

NPI # 1609053107
LBN Legal business name PHYSICIANS PROVIDER SERVICES,INC
Authorized official ANDREW JIMERSON - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 01/28/2008
Last updated 09/26/2008 - About 18 years ago
Identifiers
OH License # 35041190J
OH Medicaid 0414439
OH Medicaid 2183622
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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