Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ICP PPO, LLC
Active OrganizationICP PPO, LLC is a Preferred Provider Organization organization located in SOUTH BEND, Indiana. NPI 1407443617 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · SOUTH BEND, IN
Registration Details
- NPI Number
- 1407443617
- Provider Type
- Organization
- NPI Issued
- Dec 22, 2020 (5.6647490634029 yrs)
- Last Updated
- Dec 22, 2020
Practice Information
- Address
-
211 N EDDY STSOUTH BEND, IN, 466172808Browse IN providers · Browse ZIP 46617
- Phone
- 5742348161
- Primary Specialty
-
Preferred Provider Organization
305R00000X
- Additional Specialty
- Preferred Provider Organization
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.