Healthcare Provider Details

I. General information

NPI: 1083664783
Provider Name (Legal Business Name): EXIGENCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 10/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 MARTIN LUTHER KING JR DR
HELENA AR
72342-8998
US

IV. Provider business mailing address

6653 MAIN ST
WILLIAMSVILLE NY
14221-5906
US

V. Phone/Fax

Practice location:
  • Phone: 716-204-4500
  • Fax: 716-204-4501
Mailing address:
  • Phone: 716-204-4500
  • Fax: 716-204-4501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: IRENE NYE
Title or Position: CONTRACT MANAGER
Credential:
Phone: 716-204-4500