Organization
NES OF SHELBY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MOORE (CFO)
(415) 435-4591
Entity
Organization
Contact information
Practice address
20 MORRIS RD, SHELBY, OH 44875-1152
(419) 342-5015
Mailing address
PO BOX 636482, CINCINNATI, OH 45263-0001
(800) 377-8721
(304) 697-1155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000640740
ANTHEM BCBS
OH
05
—
2983615
—
OH
01
—
DP5709
RR MEDICARE
—
Enumeration date
08/26/2009
Last updated
04/30/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us