Organization
STERLING EMERGENCY SERVICES OF THE MIDWEST, INC
Active
Other names
Dayton ED Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J BUNKER (CHAIRMAN/PRESIDENT/CEO)
(904) 805-1300
Entity
Organization
Contact information
Practice address
1997 MIAMISBURG CENTERVILLE RD, DAYTON, OH 45459-3811
(937) 439-6000
(904) 805-1302
Mailing address
PO BOX 758705, BALTIMORE, MD 21275-0001
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000291736
BLUE CROSS & BLUE SHIELD
OH
05
—
0321708
—
OH
01
—
153055800
DEPT OF LABOR
OH
01
—
DC8485
RAIL ROAD MEDICARE
OH
Enumeration date
05/04/2006
Last updated
07/23/2008
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