NPI 1649695719

Coordinated Care Corporation

Organisation Health Maintenance Organization Indianapolis, IN

Practice location

Address: 1099 N Meridian St Suite 400, Indianapolis, IN 46204-1075
Phone: (317) 684-9478
Fax: (317) 684-1785

Authorised official

Name: John Barth
Title: Vp Compliance & Regulatory Affairs
Phone: (317) 684-9478

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1649695719
Entity type: Organization
NPI issued: 26 Feb 2014
Record last updated: 26 Feb 2014

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.