Organization
TEAYS VALLEY EMERGENCY PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A COLE JR. (CEO)
(800) 875-0136
Entity
Organization
Contact information
Practice address
1400 HOSPITAL DR, HURRICANE, WV 25526-9202
(304) 757-1700
(937) 619-4150
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
—
WV
363A00000X
Physician Assistant
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001953069
BC/BS
WV
05
—
3810008625
—
WV
01
—
571097
CARELINK
WV
Enumeration date
03/21/2007
Last updated
09/15/2010
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