Organization
NEW CENTURY EMERGENCY PHYSICIAN OF WEST VIRGINIA 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
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-4170
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
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
—
001709239
WV BCBS (MD DO)
WV
01
—
001709240
WV BCBS (NP)
WV
01
—
001765432
BLUE CROSS BLUE SHIELD
WV
01
—
001769857
WV BCBS (PA)
WV
01
—
001965194
BLUE CROSS BLUE SHIELD
WV
01
—
001965427
BLUE CROSS BLUE SHIELD
WV
05
—
0203116000
—
WV
05
—
0203138000
—
WV
01
—
020358700
BLACK LUNG
WV
05
—
3042068
—
OH
Enumeration date
12/28/2005
Last updated
09/15/2010
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