Organization
MERCY EMERGENCY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A COLE JR. MD (CEO)
(800) 726-3627
Entity
Organization
Contact information
Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 870-7001
(513) 603-8174
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
1409497
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316047
BC/BS GRP PROVIDER NUMBER
OH
05
—
2458657
—
OH
Enumeration date
08/02/2005
Last updated
09/07/2011
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