Ccsg Llc is a Nurse Practitioner in Indianapolis, Indiana. Ccsg Llc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Ccsg Llc is 1700057718. The last update date is 2010-02-16.
Ccsg Llc's current location address is 1801 N Senate Blvd, Indianapolis, Indiana. You can contact this provider via phone number 3179625888 and fax number 3179626259. The mailing address for Ccsg Llc is 1801 N Senate Blvd, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Ccsg Llc |
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Address | 1801 N Senate Blvd, Indianapolis, Indiana |
Phone Number | 3179625888 |
Fax Number | 3179626259 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT/ |
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Authorized Official Name | Odle L Samuel |
Telephone Number | 3179624836 |
NPI Number Detail
NPI Number | 1700057718 |
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Provider Enumeration Date | 2008-03-18 |
Last Updated Date | 2010-02-16 |
Provider Mailing Address Detail
Address | 1801 N Senate Blvd |
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City | Indianapolis |
State | Indiana (IN) |
Post Code | 462021228 |
Phone Number | 3179625888 |
Fax Number | 3179626259 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
DN6820 | IN | RAILROAD MEDICARE GROUP | |
200906830 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ccsg Llc by the Centers for Medicare & Medicaid Services?
The Ccsg Llc has been issued the NPI (National Provider Identifier) 1700057718, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ccsg Llc's facilities are situated?
The facilities of Ccsg Llc are physically located at the following address: 1801 N Senate Blvd, Indianapolis, IN, 462021228.
What is Ccsg Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ccsg Llc's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Ccsg Llc receive the assignment of its 1700057718 from the Centers for Medicare & Medicaid Services?
The Ccsg Llc was issued its 1700057718 by the Centers for Medicare & Medicaid Services on 2008-03-18.
As of what date were the details pertaining to Ccsg Llc last refreshed?
The information related to the Ccsg Llc, including its address, specialty, and other relevant details, was last updated on 2010-02-16.
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