Healthcare Provider Details

I. General information

NPI: 1184028524
Provider Name (Legal Business Name): OHIO EMERGENCY CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2014
Last Update Date: 06/11/2020
Certification Date: 06/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

561 W CENTRAL AVE
DELAWARE OH
43015-1410
US

IV. Provider business mailing address

307 S EVERGREEN AVE
WOODBURY NJ
08096-2739
US

V. Phone/Fax

Practice location:
  • Phone: 740-615-1000
  • Fax:
Mailing address:
  • Phone: 856-686-4316
  • Fax:

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: DAVID J ISTVAN
Title or Position: PRESIDENT
Credential:
Phone: 856-686-4394