Adena Emergency Physicians, Inc

Organization Active NPI Emergency Medicine Physician · Greenfield, OH

NPI 1609878073 · NPPES record last updated Nov 2, 2012

Key facts

NPI
1609878073
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
License
1402125 (OH)
Legal business name
ADENA EMERGENCY PHYSICIANS, INC
Practice address
550 Mirabeau St
Greenfield, OH 45123-1617
Phone
(937) 981-2116
Fax
(937) 981-9238
NPI assigned
Aug 15, 2005
Organization subpart
No

Authorized official

Name
Dr. William A Cole Jr.
Title
Ceo
Phone
(800) 726-3627

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207P00000X 1402125 OH Yes

Addresses

Primary practice location

550 Mirabeau St
Greenfield, OH 45123-1617

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers

IdentifierTypeStateIssuer
2458040MedicaidOH
000000319598OtherOHANTHEM
C37329OtherOHHUMANA GRP PROVIDER#
202766801OtherOHDEPARTMENT OF LABOR GRP#
DA6516OtherOHRRMEDICARE GRP PROVIDER#
020407000OtherOHFEDERAL BLACK LUNG GRP#
203397OtherOHEEOICP GRP PROVIDER#

Other names

  • Adena Emergency Physicians Inc./Greenfield Area Medical Center Doing business as

Other providers in Greenfield, OH

All providers in Greenfield, OH · Emergency Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.