Organization
CIRCLEVILLE EMERGENCY PHYSICIANS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A COLE JR. (CEO)
(800) 726-3627
Entity
Organization
Contact information
Practice address
600 N PICKAWAY ST, CIRCLEVILLE, OH 43113-2409
(740) 474-2126
(740) 477-1022
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1402126
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316746
BC/BS GRP PROVIDER NUMBER
OH
05
—
2458219
—
OH
Enumeration date
07/29/2005
Last updated
08/23/2011
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