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Contact Information

OTTERBEIN CLEARCREEK, LLC
9320 AVALON CIRCLE
CENTERVILLE, OH45458
 Phone: 937-885-5426
 Fax: 937-885-4969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for OTTERBEIN CLEARCREEK, LLC

NPI # 1992977516
LBN Legal business name OTTERBEIN CLEARCREEK, LLC
Authorized official JAMES GREEN - (TREASURER & CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/25/2008
Last updated 02/09/2015 - About 11 years ago
Identifiers
OH License # 2518N
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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