Organization
EMERGENCY MEDICAL SERVICES OF LORAIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MOORE (CFO)
(415) 435-4591
Entity
Organization
Contact information
Practice address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 960-4000
Mailing address
PO BOX 31115, BELFAST, ME 04915-0140
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000608834
BCBS
OH
05
—
2917133
—
OH
01
—
DO5571
RR MEDICARE
—
Enumeration date
12/10/2008
Last updated
05/16/2022
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