Organization
4M EMERGENCY SYSTEMS LLC
Active
Other names
4M EMERGENCY SYSTEMS INC
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIC BAGNOLI (PROVIDER ENROLLMENT OFFICER)
(844) 474-4019
Entity
Organization
Contact information
Practice address
667 EASTLAND AVE SE, WARREN, OH 44484-4503
(844) 474-4019
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(844) 474-4019
(330) 492-8489
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383091
ANTHEM
OH
Enumeration date
05/17/2006
Last updated
04/03/2025
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