Organization
NORWALK EMERGENCY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK JACOBY (EXECUTIVE DIRECTOR)
(419) 824-3433
Entity
Organization
Contact information
Practice address
272 BENEDICT AVE, FISHER-TITUS MEDCIAL CENTER, NORWALK, OH 44857-2374
(800) 589-3862
Mailing address
5800 MONROE ST, BLDG. E #4, SYLVANIA, OH 43560-2263
(419) 824-3433
(419) 824-0216
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN0371
MEDICARE RAILROAD
OH
Enumeration date
01/30/2007
Last updated
06/24/2008
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