# BEDFORD COMMUNITY EMERGENCY ROOM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710274105
- **Authorized official:** JOHN KAMAU (OWNER)
- **Authorized official phone:** (419) 944-6886

## Contact information

- **Practice address:** 22750 ROCKSIDE RD, SUITE 201, BEDFORD, OH 44146-1574
- **Practice address phone:** (419) 944-6886
- **Mailing address:** 22750 ROCKSIDE RD, SUITE 201, BEDFORD, OH 44146-1574
- **Mailing address phone:** (419) 944-6886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2011
- **Last updated:** 09/13/2011