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NPI Code Detail

MEDICARE: SILOAM EMERGENCY GROUP LLC

MEDICARE: SILOAM EMERGENCY GROUP LLC
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
1363A00000XPhysician 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

General Provider Information

NPI Number : 1568790368
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILOAM EMERGENCY GROUP LLC
Provider Business Mailing Address
First Line : 200 CORPORATE BLVD
Second Line : SUITE 201
City : LAFAYETTE
State : LA
Zip : 70508-3870
Country : US
Telephone Number : 800-893-9698
Fax Number :
Provider Business Practice Location Address
First Line : 603 N PROGRESS AVENUE
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-4352
Country : US
Telephone Number : 479-525-4141
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. WILLIAM C. SCHUMACHER
Credential : MD
Telephone Number : 800-893-9698
Provider Enumeration Date : 12/07/2009
Last Update Date : 05/14/2012

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Directions to “SILOAM EMERGENCY GROUP LLC ” Practice Location

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