Provider Demographics
NPI:1821337858
Name:CAPABILITIES, INC.
Entity Type:Organization
Organization Name:CAPABILITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUMHORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-394-0003
Mailing Address - Street 1:124 S FRONT ST
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:OH
Mailing Address - Zip Code:45885-2301
Mailing Address - Country:US
Mailing Address - Phone:419-394-0003
Mailing Address - Fax:
Practice Address - Street 1:124 S FRONT ST
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885-2301
Practice Address - Country:US
Practice Address - Phone:419-394-0003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization