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Organization
STERLING EMERGENCY SERVICES OF THE MIDWEST, INC
Active
Organization
STERLING EMERGENCY SERVICES OF THE MIDWEST, INC
Active
Other names
Ellington Emergency Department Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J BUNKER (CHAIRMAN/PRESIDENT/CEO)
(904) 805-1300
Entity
Organization
Contact information
Practice address
1080 N ELLINGTON PKWY, LEWISBURG, TN 37091-2227
(931) 359-6241
(904) 805-1302
Mailing address
PO BOX 532734, ATLANTA, GA 30353-2734
(904) 805-1300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C30997
RAIL ROAD MEDICARE
TN
Enumeration date
05/03/2006
Last updated
07/23/2008
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