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Organization

ARCADIAN HEALTH PLAN, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES NOVELLO JR. (SR. VP 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 350, OAKLAND, CA 94607-5204
(510) 832-0311
(510) 817-1894

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
103078
NH
302R00000X
Health Maintenance Organization
112421
ME
302R00000X
Health Maintenance Organization
12151
AZ
302R00000X
Health Maintenance Organization
12151
MO
302R00000X
Health Maintenance Organization
12151
VA
302R00000X
Health Maintenance Organization
13794 (FOR AHP)
TX
302R00000X
Health Maintenance Organization
166975
SC
302R00000X
Health Maintenance Organization
Primary
174
WA
302R00000X
Health Maintenance Organization
FILE NUMBER 933 0468
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103078
MEDICARE ADVANTAGE
NH
01
112421
MEDICARE ADVANTAGE
ME
01
12151
MEDICARE ADVANTAGE
AZ
01
12151
MEDICARE ADVANTAGE
MO
01
12151
MEDICARE ADVANTAGE
VA
01
13794 (FOR AHP)
MEDICARE ADVANTAGE
TX
01
166975
MEDICARE ADVANTAGE
SC
01
174
MEDICARE ADVANTAGE
WA
01
FILE NUMBER 933 0468
MEDICARE ADVANTAGE
CA
Enumeration date
11/18/2008
Last updated
12/01/2010
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