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Organization

ARKANSAS COMMUNITY CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES NOVELLO JR. (SR. V.P. AND GENERAL COUNSEL)
(510) 817-1845
Entity
Organization

Contact information

Practice address
500 12TH ST STE 300, OAKLAND, CA 94607-4087
(510) 832-0311
(510) 817-1894
Mailing address
500 12TH ST STE 300, OAKLAND, CA 94607-4087
(510) 832-0311
(510) 817-1894

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
0313
OK
302R00000X
Health Maintenance Organization
Primary
12282
AR
302R00000X
Health Maintenance Organization
14238 (ACC)
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0313
MEDICARE ADVANTAGE
OK
01
12282
MEDICARE ADVANTAGE
AR
01
14238 (ACC)
MEDICARE ADVANTAGE
TX
Enumeration date
09/10/2008
Last updated
12/01/2010
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