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Contact Information

BOLIVAR EMERGENCY GROUP LLC
901 HWY 8 EAST SUNFLOWER RD
CLEVELAND, MS38732
 Phone: 662-846-0061
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BOLIVAR EMERGENCY GROUP LLC

NPI Number 1417194978
LBN Legal business name BOLIVAR EMERGENCY GROUP LLC
Authorized official WILLIAM SCHUMACHER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/20/2009
Last updated 01/20/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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