Organization Name: | RENEW HEALTHCARE LLC |
NPI Number: | 1063777415 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOANNE ENGEL KORT (CERTIFIED NURSE PRACTITIONER) |
Mailing Address: | 2937 Nw Highway 101 Suite 110 Lincoln City |
State: | OR US |
Postal Code: | 973674442 |
Phone Number: | 5416140314 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2012 |
NPI Last Update Date: | 07/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | MD18043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |