Provider Demographics
NPI:1568673432
Name:BEM MEDICAL ARTS CENTER, INC
Entity Type:Organization
Organization Name:BEM MEDICAL ARTS CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:G
Authorized Official - Last Name:PALOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-782-8071
Mailing Address - Street 1:3100 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44507-1821
Mailing Address - Country:US
Mailing Address - Phone:330-782-8071
Mailing Address - Fax:330-788-1096
Practice Address - Street 1:3100 MARKET ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44507-1821
Practice Address - Country:US
Practice Address - Phone:330-782-8071
Practice Address - Fax:330-788-1096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34002293P207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0347422Medicaid
OH0303960Medicaid
OH1992798086OtherINDIVIDUAL NPI
OH1992798086OtherINDIVIDUAL NPI
OHE00620Medicare UPIN