Provider Demographics
NPI:1457824831
Name:LOGISTICS HEALTH INC.
Entity Type:Organization
Organization Name:LOGISTICS HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR - CLAIMS
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HYLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-284-8788
Mailing Address - Street 1:328 FRONT ST S
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-4023
Mailing Address - Country:US
Mailing Address - Phone:877-498-2911
Mailing Address - Fax:
Practice Address - Street 1:156 WILLIAM ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2609
Practice Address - Country:US
Practice Address - Phone:888-982-4748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOGISTICS HEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization