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NPI Code Detail

MEDICARE: AUSTINTOWN ER PHYSICIANS, INC.

MEDICARE: AUSTINTOWN ER PHYSICIANS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1146D00000XPersonal Emergency Response Attendant

General Provider Information

NPI Number : 1063536589
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUSTINTOWN ER PHYSICIANS, INC.
Provider Business Mailing Address
First Line : 45 N CANFIELD NILES RD
Second Line : P.O. BOX 4148
City : AUSTINTOWN
State : OH
Zip : 44515-2343
Country : US
Telephone Number : 330-792-2020
Fax Number :
Provider Business Practice Location Address
First Line : 45 N CANFIELD NILES RD
Second Line :
City : AUSTINTOWN
State : OH
Zip : 44515-2343
Country : US
Telephone Number : 330-792-2020
Fax Number : 330-792-4798
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. LINDA S SIMEONE
Credential :
Telephone Number : 330-792-4755
Provider Enumeration Date : 03/19/2007
Last Update Date : 08/22/2020

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Directions to “AUSTINTOWN ER PHYSICIANS, INC. ” Practice Location

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