Coordinated Care Corporation

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

COORDINATED CARE CORPORATION

Practice address

1099 N Meridian St
Suite 400
Indianapolis, IN 46204-1075

Phone

(317) 684-9478

Fax

(317) 684-1785

NPI assigned

Feb 26, 2014

Last updated

Feb 26, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTENE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. John Barth, MSW

Title

VP Compliance & Regulatory Affairs

Phone

(317) 684-9478

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam Edelman, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1164541405
  NPD (past)

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1649695719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 N MERIDIAN ST",
            "address_2": "SUITE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041075",
            "telephone_number": "317-684-9478",
            "fax_number": "317-684-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 N MERIDIAN ST",
            "address_2": "SUITE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041075",
            "telephone_number": "317-684-9478",
            "fax_number": "317-684-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED CARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTENE CORPORATION",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "BARTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP COMPLIANCE & REGULATORY AFFAIRS",
        "authorized_official_telephone_number": "317-684-9478",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamus Luke Cooper
• Stefan Cooper
• Taniya Onyeah Cooper
• Tomichlar Cooper
• Travis Justin Cooper, LMHC
• Jessica Coovert
• Dawn Marie Copas, NP
• Cope Behavioral Consulting PC
• Anthony Mitt Cope, DDS
• Danyell Cope, NP

• Health Maintenance Organization in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Health Maintenance Organization in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.