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NPI Code Detail

MEDICARE: HIGHLAND EMERGENCY PHYSICIANS, INC.

MEDICARE: HIGHLAND EMERGENCY PHYSICIANS, 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
1207P00000XEmergency Medicine Physician1402095OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000344435OTHEROHBC/BS GRP PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376542100
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHLAND EMERGENCY PHYSICIANS, INC.
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 : 937-619-4231
Provider Business Practice Location Address
First Line : 1275 N HIGH ST
Second Line :
City : HILLSBORO
State : OH
Zip : 45133-8273
Country : US
Telephone Number : 937-393-6100
Fax Number : 937-393-6333
Authorized Official
Title or Position : CEO
Name : MR. WILLIAM A COLE JR.
Credential : MD
Telephone Number : 937-312-3627
Provider Enumeration Date : 07/14/2005
Last Update Date : 04/20/2008

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Directions to “HIGHLAND EMERGENCY PHYSICIANS, INC. ” Practice Location

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