Organization
AMERIGROUP OHIO, INC.
Active
Other names
AMERIGROUP Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
GARY HALL FLETCHER (PRESIDENT)
(513) 733-2300
Entity
Organization
Contact information
Practice address
10123 ALLIANCE RD, SUITE 104, CINCINNATI, OH 45242-4714
(513) 733-2300
(513) 733-0516
Mailing address
10123 ALLIANCE RD, SUITE 104, CINCINNATI, OH 45242-4714
(513) 733-2300
(513) 733-0516
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
00307
OH
Other
Enumeration date
12/01/2005
Last updated
08/22/2020
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