Healthcare Provider Details

I. General information

NPI: 1508815101
Provider Name (Legal Business Name): EMCARE PHYSICIAN PROVIDERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 S MAIN ST
OCONTO FALLS WI
54154-1241
US

IV. Provider business mailing address

PO BOX 7360
PHILADELPHIA PA
19101-7360
US

V. Phone/Fax

Practice location:
  • Phone: 920-746-3444
  • Fax:
Mailing address:
  • Phone: 800-444-7009
  • 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: JAMES L MURPHY
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 800-362-2731