Blair Emergency Physicians
Organization Active NPI Emergency Medicine Physician · Peru, IN
NPI 1962682997 · NPPES record last updated Jun 19, 2008
Key facts
- NPI
- 1962682997
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- BLAIR EMERGENCY PHYSICIANS
- Practice address
- 275 W 12TH St
Peru, IN 46970-1638 - Phone
- (765) 473-6621
- NPI assigned
- Nov 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Eddie Stone
- Title
- Authorized Signer
- Phone
- (800) 355-0808
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
275 W 12TH St
Peru, IN 46970-1638
Mailing address
PO Box 7878
Philadelphia, PA 19101-7878
Phone (800) 732-1066
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200333950A | Medicaid | IN | |
| 000000327623 | Other | IN | BLUE SHIELD |
Other providers in Peru, IN
- Blaire Kirsten Bell
- Kimberly Michelle Bellar
- Marla Kay Berkshire
- Bio-Medical Applications of Indiana, Inc.
- Gladys Blackburn
- Maren Blevins
- Blue Sky Transportation, LLC
- Board of Trustees of Howard Community Hospital
- Kaylee Bohn
- Bona Vista Programs, Inc.
All providers in Peru, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.