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 # | 1891898219 |
| LBN Legal business name | STATE MEDICAID |
| Authorized official | JANICE REMUS - (CASE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/07/2006 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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STATE MEDICAID
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