Organization
LIMA EMERGENCY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A COLE JR. MD (CEO)
(800) 726-3627
Entity
Organization
Contact information
Practice address
601 ST RT 224, GLANDORF, OH 45848
(419) 539-6288
(419) 226-4448
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 GROUP PROVIDER #
OH
01
—
202773900
DEPT OF LABOR GRP NUMBER
OH
01
—
203384
EEOICP GRP PROVIDER #
OH
05
—
2459334
—
OH
01
—
C37096
HUMANA GRP PROVIDER #
OH
Enumeration date
08/01/2005
Last updated
09/13/2011
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