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NPI Code Detail

MEDICARE: MERCY EMERGENCY PHYSICIANS INC

MEDICARE: MERCY 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 Physician

General Provider Information

NPI Number : 1477825073
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY 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 : 937-619-4150
Provider Business Practice Location Address
First Line : 154 HEALTH PARTNERS CIR
Second Line :
City : MOUNT ORAB
State : OH
Zip : 45154-8611
Country : US
Telephone Number : 513-981-4700
Fax Number : 937-619-4150
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : WILLIAM COLE
Credential : MD
Telephone Number : 800-875-0136
Provider Enumeration Date : 01/30/2012
Last Update Date : 01/30/2012

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Directions to “MERCY EMERGENCY PHYSICIANS INC ” Practice Location

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