Organization
PHS EMERGENCY BILLING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MOCK (VP & CFO)
(937) 545-3516
Entity
Organization
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3356
Mailing address
3170 KETTERING BLVD., BLDG B, 2ND FLOOR, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/08/2024
Last updated
04/08/2025
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