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NPI Code Detail

MEDICARE: RICHLAND COUNTY EMERGENCY PHYSICIANS

MEDICARE: RICHLAND COUNTY EMERGENCY PHYSICIANS
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
1207P00000XEmergency Medicine PhysicianOH

General Provider Information

NPI Number : 1275787525
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHLAND COUNTY EMERGENCY PHYSICIANS
Provider Business Mailing Address
First Line : 4750 HEMPSTEAD STATION DR
Second Line :
City : KETTERING
State : OH
Zip : 45429-5164
Country : US
Telephone Number : 800-875-0136
Fax Number :
Provider Business Practice Location Address
First Line : 199 W MAIN ST
Second Line :
City : SHELBY
State : OH
Zip : 44875-1490
Country : US
Telephone Number : 419-342-5015
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. WILLIAM A COLE
Credential : MD
Telephone Number : 800-726-3627
Provider Enumeration Date : 11/13/2008
Last Update Date : 11/13/2008

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Directions to “RICHLAND COUNTY EMERGENCY PHYSICIANS ” Practice Location

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