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Organization

CROW CREEK THERAPEUTICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN GEARHEART (PRESIDENT)
(317) 813-4210
Entity
Organization

Contact information

Practice address
1740 HARMON AVE, STE H, COLUMBUS, OH 43223-3355
(888) 420-2337
(866) 228-5570
Mailing address
3750 PRIORITY WAY SOUTH DR STE 230, INDIANAPOLIS, IN 46240-3831
(877) 813-0205
(877) 604-3468

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1752867
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000581418
ANTHEM
OH
05
2850197
OH
Enumeration date
02/22/2008
Last updated
06/20/2025
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