MEDICARE: CORA HEALTH 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1902617541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORA HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	PO BOX 150
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45802-0150
Country	:	US
Telephone Number	:	419-216-9913
Fax Number	:	567-301-3703

Provider Business Practice Location Address
First Line	:	3401 S CONGRESS AVE STE 103
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-3065
Country	:	US
Telephone Number	:	561-968-7788
Fax Number	:	561-968-9968

Authorized Official
Title or Position	:	PAYER RELATIONS MANAGER
Name	:	ANDREA K BEACH
Credential	:
Telephone Number	:	419-221-6710

Provider Enumeration Date	:	01/14/2025
Last Update Date	:	02/20/2025

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Directions to “CORA HEALTH SERVICES, INC ” Practice Location

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