Organization
CORNELL ABRAXAS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA VOGT (BUSINESS MANAGER)
(419) 747-0881
Entity
Organization
Contact information
Practice address
2775 STATE ROUTE 39, SHELBY, OH 44875-9466
(419) 747-3322
(381) 657-9702
Mailing address
2775 STATE ROUTE 39, SHELBY, OH 44875-9466
(419) 747-3322
(419) 747-0067
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0680
OH
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
FACSIS 256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063924
—
OH
05
—
2876928
—
OH
Enumeration date
02/17/2006
Last updated
06/13/2022
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