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OTTUMWA ER LLC NPI 1629312723


NPI Information

NPI: 1629312723
Provider Name: OTTUMWA ER LLC
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
1001 PENNSYLVANIA AVE
OTTUMWA, IA
ZIP 52501
Phone: (641) 684-2402
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OTTUMWA ER LLC is an emergency medical services emergency medicine in Ottumwa, IA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. OTTUMWA ER LLC NPI is 1629312723. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 PENNSYLVANIA AVE
OTTUMWA, IA
ZIP 52501-427
Phone: (641) 684-2402
Fax: (641) 684-2401

The provider's authorized official is Stephen L. Page .
The authorized official title is Vice President and has the following contact phone number (615) 844-9849.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 2/10/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0004XEmergency MedicineEmergency Medical ServicesYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1IB2822MEDICARE PINIOWA

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: 5/5/2024

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