Organization
TIFFIN EMERGENCY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J BUNKER (CHAIRMAN/PRESIDENT/CEO)
(904) 805-1300
Entity
Organization
Contact information
Practice address
485 W MARKET ST, TIFFIN, OH 44883-2611
(419) 447-3130
(904) 805-1302
Mailing address
PO BOX 758705, BALTIMORE, MD 21275-0001
(904) 805-1300
(904) 805-1302
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
—
000000187144
BLUE CROSS & BLUE SHIELD
OH
01
—
205170500
FL BLACK LUNG
OH
05
—
2193344
—
OH
01
—
DC4950
RAIL ROAD MEDICARE
OH
Enumeration date
05/04/2006
Last updated
07/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us