MEDICARE: RINGTAIL 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
1	207P00000X	Emergency Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871542027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RINGTAIL EMERGENCY PHYSICIANS

Provider Business Mailing Address
First Line	:	3916 STATE ST
Second Line	:	SUITE 300
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-5602
Country	:	US
Telephone Number	:	805-563-3011
Fax Number	:

Provider Business Practice Location Address
First Line	:	5530 HWY 95
Second Line	:
City	:	FORT MOHAVE
State	:	AZ
Zip	:	86426-9232
Country	:	US
Telephone Number	:	928-788-7065
Fax Number	:

Authorized Official
Title or Position	:	GENERAL PARTNER
Name	:	MR. JAMES L MURPHY
Credential	:
Telephone Number	:	800-527-2145

Provider Enumeration Date	:	05/07/2006
Last Update Date	:	01/28/2010

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