Organization
LIMA EMERGENCY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A COLE JR. MD (CEO)
(800) 726-3627
Entity
Organization
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
(419) 226-9826
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1402093
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317825
BC/BS GRP PROVIDER NUMBER
OH
01
—
020408300
FEDERAL BLACK LUNG GRP #
OH
01
—
2027739014
DEPARTMENT OF LABOR GRP #
OH
01
—
203400
EEOICP GRP PROVIDER #
OH
05
—
2459325
—
OH
01
—
C37096
HUMANA GRP PROVIDER #
OH
Enumeration date
07/18/2005
Last updated
09/16/2011
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