Healthcare Provider Details

I. General information

NPI: 1386684736
Provider Name (Legal Business Name): EMCARE PHYSICIAN PROVIDERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3933 S BROADWAY
SAINT LOUIS MO
63118-4601
US

IV. Provider business mailing address

PO BOX 13627
PHILADELPHIA PA
19101-3627
US

V. Phone/Fax

Practice location:
  • Phone: 314-865-7000
  • Fax: 314-865-7073
Mailing address:
  • Phone: 800-732-1066
  • Fax: 630-941-4333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES L MURPHY
Title or Position: EXEC. V.P. / GENERAL PARTNER
Credential:
Phone: 800-732-1066