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Organization
PROVIDER PARTNERS CARE MANAGEMENT INDIANA LLC
Active
Organization
PROVIDER PARTNERS CARE MANAGEMENT INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG ALLEN FLEISCHMANN (CFO)
(410) 241-5063
Entity
Organization
Contact information
Practice address
800 SAINT JOSEPH DR, KOKOMO, IN 46901-1983
(443) 275-9800
Mailing address
8820 COLUMBIA 100 PKWY STE 430, COLUMBIA, MD 21045-2175
(410) 967-2097
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
01/19/2026
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