Organization
RIVER VALLEY EMERGENCY PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A COLE JR. MD (CEO)
(304) 526-1436
Entity
Organization
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 526-1436
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
—
001807339
BLUE CROSS BLUE SHIELD
WV
05
—
2633172
—
OH
01
—
3001152
WORKERS COMPENSATION
WV
05
—
3810004988
—
WV
05
—
6594493600
—
KY
Enumeration date
08/18/2006
Last updated
09/15/2010
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