Organization
CHOICES COORDINATED CARE SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GOLDBERG (CHIEF EXECUTIVE OFFICER)
(317) 205-8202
Entity
Organization
Contact information
Practice address
30 W GUDE DR, SUITE 270, ROCKVILLE, MD 20850-1161
(240) 683-7300
(240) 683-7301
Mailing address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
(317) 726-2121
(866) 849-3866
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14477508254
—
IN
Enumeration date
05/09/2017
Last updated
05/09/2017
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