COMPLEXCARE SOLUTIONS
Managed Care Organizations at Broad St, New York, NY

License number
New York 016528
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: ERIN O'CONNOR
Title: CREDENTIALING SPECIALIST
Phone: (347) 761-3286
Address
Address
75 Broad St RM 815, New York, NY 10004
National Provider ID: 1376981639
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Complexcare Solutions, Inc

14 Wall St, New York, NY 10005

Industry:
Management Services

COMPLEXCARE SOLUTIONS, INC

New York, NY  -  Little Rock, AR  -  Farmington, CT

Status:
Inactive
Industry:
Management Services
Doing business as:
COMPLEXCARE SOLUTIONS IPA, LLC
Registration:
Feb 27, 2014
Phone:
(860) 321-7470 (Phone)
Addresses:
75 Broad St STE 815, New York, NY 10004 (Mailing)
Suite 81 SUITE 815, New York, NY 10004 (Physical)
Matthew D Hintz, New York, NY 10004 (Physical)
300 Spg St STE 900, Little Rock, AR 72201 (Physical)
30 Waterside Dr, Farmington, CT 06032
State ID:
99950793
Business type:
FOREIGN BUSINESS CORPORATION
Entity State:
DE
S:
Mark Blackburn (Director, CEO, Incorporator/Organizer, Chairman), 300 E 40 St, New York, NY 10016
75 Broad St SUITE 815, New York, NY 10004 (Physical),John Randazzo (Director, Secretary, Chairman), 75 Broad St, New York, NY 10004,No No (CFO), 75 Broad St SUITE 815, New York, NY 10004 (Physical),...
Agent:
Data Research, Incorporated,8130 SW Beaverton-Hillsdale Hwy, Portland, OR 97225 (Physical)
Filled under act:
Dom Bus Corp; 958 of 1987

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