Celtic Insurance Company

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

CELTIC INSURANCE COMPANY

Practice address

200 E Randolph St Ste 3600
Chicago, IL 60601-6512

Phone

(813) 206-1393

NPI assigned

Apr 8, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kendra Archer

Title

Vice President, Board Secretary

Phone

(813) 206-1393

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1114770336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E RANDOLPH ST STE 3600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016512",
            "telephone_number": "313-720-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E RANDOLPH ST STE 3600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016512",
            "telephone_number": "813-206-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELTIC INSURANCE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "VICE PRESIDENT, BOARD SECRETARY",
        "authorized_official_telephone_number": "813-206-1393"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Chicago, IL
• Providers in Chicago, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.