Provider Demographics
NPI:1447491410
Name:PROGRESSIVE CASUALTY INSURANCE COMPANY
Entity type:Organization
Organization Name:PROGRESSIVE CASUALTY INSURANCE COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDILINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:440-910-7416
Mailing Address - Street 1:300 N COMMONS BLVD
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1589
Mailing Address - Country:US
Mailing Address - Phone:855-893-1034
Mailing Address - Fax:440-720-7010
Practice Address - Street 1:300 N COMMONS BLVD
Practice Address - Street 2:
Practice Address - City:MAYFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44143-1589
Practice Address - Country:US
Practice Address - Phone:855-893-1034
Practice Address - Fax:440-720-7010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROGRESSIVE CAUSALTY INSURANCE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-20
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care