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NPI Code Detail

MEDICARE: AMERIHEALTH CARITAS NEVADA, INC.

MEDICARE: AMERIHEALTH CARITAS NEVADA, 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
1302R00000XHealth Maintenance Organization

General Provider Information

NPI Number : 1740861129
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERIHEALTH CARITAS NEVADA, INC.
Provider Business Mailing Address
First Line : 200 STEVENS DR
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19113-1532
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 STEVENS DR
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19113-1532
Country : US
Telephone Number : 215-937-8000
Fax Number :
Authorized Official
Title or Position : CORPORATE SECRETARY
Name : ROBERT E TOOTLE
Credential :
Telephone Number : 215-937-8561
Provider Enumeration Date : 04/18/2021
Last Update Date : 04/18/2021

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Directions to “AMERIHEALTH CARITAS NEVADA, INC. ” Practice Location

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