Organization
ADENA EMERGENCY PHYSICIANS, INC
Active
Other names
Adena Emergency Physicians Inc./Greenfield Area Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A COLE JR. (CEO)
(800) 726-3627
Entity
Organization
Contact information
Practice address
550 MIRABEAU ST, GREENFIELD, OH 45123-1617
(937) 981-2116
(937) 981-9238
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1402125
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000319598
ANTHEM
OH
01
—
020407000
FEDERAL BLACK LUNG GRP#
OH
01
—
202766801
DEPARTMENT OF LABOR GRP#
OH
01
—
203397
EEOICP GRP PROVIDER#
OH
05
—
2458040
—
OH
01
—
C37329
HUMANA GRP PROVIDER#
OH
01
—
DA6516
RRMEDICARE GRP PROVIDER#
OH
Enumeration date
08/15/2005
Last updated
11/02/2012
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