Organization
BLUEFIELD EMERGENCY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A COLE JR. MD (CEO)
(304) 327-1100
Entity
Organization
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(304) 327-1100
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4342
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
WV
363A00000X
Physician Assistant
—
WV
363L00000X
Nurse Practitioner
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001828000
BLUE CROSS BLUE SHIELD
WV
01
—
3001520
WORKERS COMPENSATION
WV
05
—
3037190
—
OH
05
—
3810004991
—
WV
01
—
DE6558
RR MEDICARE
—
01
—
DE6672
RAILROAD MEDICARE
WV
Enumeration date
08/18/2006
Last updated
09/15/2010
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