Organization
CARESOURCE MANAGEMENT GROUP
Active
Other names
CareSource
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA MORRIS (CEO)
(937) 531-2201
Entity
Organization
Contact information
Practice address
230 N MAIN ST, DAYTON, OH 45402-1263
(937) 224-3300
Mailing address
230 N MAIN ST, DAYTON, OH 45402-1263
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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