NPIMap

Organization Active NPI

Amerigroup Ohio, Inc.

Doing business as AMERIGROUP Community Care

  • Health Maintenance Organization
  • Cincinnati, OH
National Provider Identifier
1326022542
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
00307 Issued in OH
Legal business name
AMERIGROUP OHIO, INC.
Doing business as
AMERIGROUP Community Care
Practice address
10123 Alliance Rd
Suite 104
Cincinnati, OH 45242-4714
Phone
(513) 733-2300
Fax
(513) 733-0516
NPI assigned
Dec 1, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Hall Fletcher
Title
President
Phone
(513) 733-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 00307 OH Primary

Addresses

Primary practice location

10123 Alliance Rd
Suite 104
Cincinnati, OH 45242-4714

Mailing address

10123 Alliance Rd
Suite 104
Cincinnati, OH 45242-4714
Phone (513) 733-2300

Other names 1

  • AMERIGROUP Community Care Doing business as

National Provider Directory

National Provider Directory

Locations

10123 Alliance Rd
Ste 104
Blue Ash, OH 45242
Phone (513) 733-2300

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326022542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10123 ALLIANCE RD",
            "address_2": "SUITE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424714",
            "telephone_number": "513-733-2300",
            "fax_number": "513-733-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 ALLIANCE RD",
            "address_2": "SUITE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424714",
            "telephone_number": "513-733-2300",
            "fax_number": "513-733-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIGROUP OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-733-2300"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OH",
            "license": "00307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERIGROUP Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.