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WILLARD EMERGENCY SERVICES LLC NPI 1134187321


NPI Information

NPI: 1134187321
Provider Name: WILLARD EMERGENCY SERVICES, LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
110 E HOWARD ST
WILLARD, OH
ZIP 44890
Phone: (419) 964-5000
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WILLARD EMERGENCY SERVICES, LLC is an emergency medicine in Willard, OH. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. WILLARD EMERGENCY SERVICES, LLC NPI is 1134187321. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 E HOWARD ST
WILLARD, OH
ZIP 44890-611
Phone: (419) 964-5000
Fax: (904) 805-1302

The provider's authorized official is Robert J Bunker .
The authorized official title is Chairman/president/ceo and has the following contact phone number (904) 805-1300.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00173421OTHEROHIORAIL ROAD MEDICARE
2264363100OTHEROHIODEPT OF LABOR
3000000187190OTHEROHIOBLUE CROSS & BLUE SHIELD
4020204700OTHEROHIOFL BLACK LUNG
52193335MEDICAIDOHIO
6=========00OTHEROHIOWORK COMP
7=========002OTHEROHIOMEDICAL MUTUAL OF OH
8=========OTHEROHIOCHAMPUS
99348231MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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