Organization
HASTINGS EMERGENCY PHYSICIANS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY POHOLSKI (DIRECTOR)
(616) 975-1845
Entity
Organization
Contact information
Practice address
1009 W GREEN ST, HASTINGS, MI 49058-1710
(269) 945-3451
Mailing address
PO BOX 2332, GRAND RAPIDS, MI 49501-2332
(616) 975-1845
(616) 975-1870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Z81032
BCBS
MI
01
—
DF1260
RAILROAD MEDICARE
—
Enumeration date
07/10/2006
Last updated
04/02/2019
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