Provider Demographics
NPI:1134137946
Name:CSI MANAGED CARE INC.
Entity Type:Organization
Organization Name:CSI MANAGED CARE INC.
Other - Org Name:CSI NETWORK SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-879-6137
Mailing Address - Street 1:6288 HUDSON CROSSING PKWY
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-4347
Mailing Address - Country:US
Mailing Address - Phone:440-717-1700
Mailing Address - Fax:440-717-1705
Practice Address - Street 1:6288 HUDSON CROSSING PKWY
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-4347
Practice Address - Country:US
Practice Address - Phone:440-717-1700
Practice Address - Fax:440-717-1705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000203462OtherANTHEM BC/BS
000000157534OtherANTHEM BC/BS
000000203463OtherANTHEM BC/BS
000000222680OtherANTHEM BC/BS
000000328178OtherANTHEM BC/BS
3403358OtherAETNA
7946566OtherAETNA
0654511OtherAETNA
000000157535OtherANTHEM BC/BS
8466936OtherAETNA
7264521OtherAETNA
000000203429OtherANTHEM BC/BS
3404943OtherAETNA
=========-004OtherMEDICAL MUTUAL
000000222680OtherANTHEM BC/BS
000000203429OtherANTHEM BC/BS
7264521OtherAETNA
=========-005OtherMEDICAL MUTUAL
=========OtherALL OTHER COMMERCIAL INS