Organization Name: | PROGRESSIVE CASUALTY INSURANCE COMPANY |
NPI Number: | 1447491410 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIM F KOWALSKI (CHIEF MEDICAL OFFICER) |
Mailing Address: | 6300 Wilson Mills Rd W31 Mayfield Village |
State: | OH US |
Postal Code: | 441432109 |
Phone Number: | 4403952132 |
Fax Number: | 4404467878 |
NPI Enumeration Date: | 03/20/2009 |
NPI Last Update Date: | 03/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |