COMMUNITY CARE NETWORK INC
Managed Care Organization Pharmacy
Cleveland, Ohio
Provider NPI: 1033296363
Organization Information:Organization Name: COMMUNITY CARE NETWORK INC
Practice Location:
3167 FULTON RD STE 111 CLEVELAND, OH 44109 US
Tel: 216-283-3865 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3167 FULTON RD STE 111 CLEVELAND, OH 44109 US
Tel: 216-283-3865 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336S0011X | Suppliers Pharmacy Specialty Pharmacy | ||
N | 3336M0003X | Suppliers Pharmacy | ||
N | 333600000X | Suppliers Pharmacy | ||
Y | 3336L0003X | Suppliers Pharmacy | OH | 02154695003 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2586607 | OH | 05 | |
PK | 2080327 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin