Organization
CLINICAL COLLEAGUES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT ZUMWALT (CEO)
(844) 937-1810
Entity
Organization
Contact information
Practice address
1250 S WASHINGTON ST, VAN WERT, OH 45891-2551
(850) 985-9180
Mailing address
PO BOX 824246, PHILADELPHIA, PA 19182-4246
(850) 985-9180
(954) 545-3497
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
UNKNOWN
—
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000111416
BLUE CROSS
KS
01
—
002514190
MOUNTAIN STATE BLUE CROSS
WV
01
—
0058WX
BLUE CROSS
TX
01
—
017H6
BLUE CROSS
NC
05
—
198604002
—
AR
05
—
1992725766
—
MO
05
—
1992725766
—
RI
05
—
200545920A
—
KS
05
—
2741920
—
OH
05
—
367500000X
—
WA
05
—
3810018161
—
WV
05
—
5902297
—
NC
01
—
610822000
OWCP
—
05
—
62722573
—
CO
05
—
8000340
—
NC
05
—
890960628A
—
GA
01
—
DD9442
RAILROAD MEDICARE
NC
01
—
DD9442
RAILROAD MEDICARE
OH
01
—
DF3380
RAILROAD MEDICARE
CO
01
—
DF9541
RAILROAD MEDICARE
OH
Enumeration date
07/21/2006
Last updated
03/10/2026
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