Provider Demographics
NPI:1801383278
Name:MIDWEST EMERGENCY MEDICINE, INC.
Entity Type:Organization
Organization Name:MIDWEST EMERGENCY MEDICINE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:T
Authorized Official - Last Name:PAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-885-3810
Mailing Address - Street 1:520 S 7TH STREET, ER
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-1038
Mailing Address - Country:US
Mailing Address - Phone:812-885-3810
Mailing Address - Fax:812-885-3811
Practice Address - Street 1:520 S 7TH STREET, ER
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1038
Practice Address - Country:US
Practice Address - Phone:812-885-3810
Practice Address - Fax:812-885-3811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty