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NPI Code Detail

MEDICARE: STERLING EMERGENCY SERVICES OF ALABAMA, INC

MEDICARE: STERLING EMERGENCY SERVICES OF ALABAMA, 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
1363AM0700XMedical Physician Assistant
2363L00000XNurse Practitioner
3207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3912737200OTHERALDEPT OF LABOR

General Provider Information

NPI Number : 1174581805
Entity Type Code : Organization
Provider Name (Legal Business Name) : STERLING EMERGENCY SERVICES OF ALABAMA, INC
Provider Business Mailing Address
First Line : PO BOX 863535
Second Line :
City : ORLANDO
State : FL
Zip : 32886-3535
Country : US
Telephone Number : 904-805-1300
Fax Number : 904-805-1302
Provider Business Practice Location Address
First Line : 401 MEDICAL PARK DR
Second Line :
City : ATMORE
State : AL
Zip : 36502-3006
Country : US
Telephone Number : 251-368-2500
Fax Number :
Authorized Official
Title or Position : CHAIRMAN/PRESIDENT/CEO
Name : ROBERT J BUNKER
Credential :
Telephone Number : 904-805-1300
Provider Enumeration Date : 05/03/2006
Last Update Date : 07/23/2008

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Directions to “STERLING EMERGENCY SERVICES OF ALABAMA, INC ” Practice Location

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