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Organization

FAIRFIELD ER PHYSICIANS DBA FAIRFIELD MEDICAL CENTER PRO FEE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELE DECOSTE (MEDICAL DIRECTOR/EMERGENCY ROOM)
(740) 687-8101
Entity
Organization

Contact information

Practice address
FAIRFIELD EMERGENCY ROOM PHYSICIANS, 401 N EWING STREET, LANCASTER, OH 43130
(740) 687-8100
Mailing address
P.O. BOX 713464, FAIRFIELD MEDICAL CENTER PRO FEE BILLING, LANCASTER, OH 45271-3464
(513) 281-4400

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4939179
OH
Enumeration date
07/07/2006
Last updated
06/09/2011
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