MEDICARE: MHN SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1184045759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MHN SERVICES INC.

Provider Business Mailing Address
First Line	:	2370 KERNER BLVD
Second Line	:	ATTN: LYNNETTE ORME; 2ND FLOOR
City	:	SAN RAFAEL
State	:	CA
Zip	:	94901-5546
Country	:	US
Telephone Number	:	415-460-8168
Fax Number	:

Provider Business Practice Location Address
First Line	:	2370 KERNER BLVD
Second Line	:	ATTN: LYNNETTE ORME; 2ND FLOOR
City	:	SAN RAFAEL
State	:	CA
Zip	:	94901-5546
Country	:	US
Telephone Number	:	415-460-8168
Fax Number	:

Authorized Official
Title or Position	:	TREASURER / DIR MEMBERSHIP ACCTG
Name	:	MS. LYNNETTE ORME
Credential	:	CPA
Telephone Number	:	415-460-8168

Provider Enumeration Date	:	12/26/2013
Last Update Date	:	12/26/2013

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