Charicem Ventures Pllc in Trenton - Exclusive Provider Organization
Charicem Ventures Pllc - NPI 1750410296
Charicem Ventures Pllc is a Exclusive Provider Organization in Trenton, Tennessee. Charicem Ventures Pllc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Charicem Ventures Pllc is 1750410296. The last update date is 2022-07-21.
Charicem Ventures Pllc's current location address is 120 Davy Crockett Mall, Trenton, Tennessee. You can contact this provider via phone number 7318553719 and fax number 7318551746. The mailing address for Charicem Ventures Pllc is 120 Davy Crockett Mall, Trenton, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charicem Ventures Pllc |
|---|---|
| Address | 120 Davy Crockett Mall, Trenton, Tennessee |
| Phone Number | 7318553719 |
| Fax Number | 7318551746 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Olusanya Adeleke Ayodele |
| Credentials | M.D. |
| Telephone Number | 7318553719 |
NPI Number Detail
| NPI Number | 1750410296 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 120 Davy Crockett Mall |
|---|---|
| City | Trenton |
| State | Tennessee (TN) |
| Post Code | 383822934 |
| Phone Number | 7318553719 |
| Fax Number | 7318551746 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3735738 | TN | -- | |
| DF6302 | TN | RAILROAD MEDICARE |
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What is the unique 10-digit identifier code issued to Charicem Ventures Pllc by the Centers for Medicare & Medicaid Services?
The Charicem Ventures Pllc has been assigned the NPI (National Provider Identifier) 1750410296 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Charicem Ventures Pllc is located?
The Charicem Ventures Pllc is situated at the following address: 120 Davy Crockett Mall, Trenton, TN, 383822934.
What is Charicem Ventures Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charicem Ventures Pllc's area of specialization is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this field of practice is 302F00000X.
On what date did the Charicem Ventures Pllc receive the assignment of its 1750410296 from the Centers for Medicare & Medicaid Services?
The Charicem Ventures Pllc was issued its 1750410296 by the Centers for Medicare & Medicaid Services on 2007-03-02.
When was the Charicem Ventures Pllc's information last updated?
The Charicem Ventures Pllc's information was last updated on 2022-07-21.