NPI 1245772375

Ranada LLC

Organisation Exclusive Provider Organization Fairborn, OH

Practice location

Address: 17 Vanderbilt Drive APT G, Fairborn, OH 45324
Phone: (614) 506-2494
Mailing address: PO Box 681, Springfield, OH 45501

Authorised official

Name: Senika Ranada Channels
Title: Owner
Phone: (614) 506-2494

Registered specialties (2)

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 2357920 (OH)

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Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X Licence 2357920 (OH)

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Registry record

NPI: 1245772375
Entity type: Organization
NPI issued: 7 Nov 2016
Record last updated: 7 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.