MEDICARE: AMERIGROUP OHIO, 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	00307	OH

General Provider Information

NPI Number	:	1326022542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERIGROUP OHIO, INC.

Provider Business Mailing Address
First Line	:	10123 ALLIANCE RD
Second Line	:	SUITE 104
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4714
Country	:	US
Telephone Number	:	513-733-2300
Fax Number	:	513-733-0516

Provider Business Practice Location Address
First Line	:	10123 ALLIANCE RD
Second Line	:	SUITE 104
City	:	CINCINNATI
State	:	OH
Zip	:	45242-4714
Country	:	US
Telephone Number	:	513-733-2300
Fax Number	:	513-733-0516

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GARY HALL FLETCHER
Credential	:
Telephone Number	:	513-733-2300

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	08/22/2020

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Directions to “AMERIGROUP OHIO, INC. ” Practice Location

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