Organization
MIDDLETOWN EMERGENCY PHYSICIANS, INC.
Active
Other names
Middletown Emergency Physicians, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM A COLE JR. MD (CEO)
(937) 312-3627
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER DR, FRANKLIN, OH 45005-2584
(513) 312-3656
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1402092
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316938
BC/BS GRP PROVIDER NUMBER
OH
05
—
2473014
—
OH
01
—
DA8121
RRMEDICARE GRP PROVIDER #
OH
Enumeration date
07/14/2005
Last updated
05/12/2008
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