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PREMIER COMMUNITY HEALTH NPI 1730613563


NPI Information

NPI: 1730613563
Provider Name: PREMIER COMMUNITY HEALTH

Doing Business As: EXCEL CORPORATE CARE

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 36D0706082

Address:
4220 GRAND AVE
MIDDLETOWN, OH
ZIP 45044
Phone: (513) 420-4700
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PREMIER COMMUNITY HEALTH is an occupational medicine clinic center in Middletown, OH. PREMIER COMMUNITY HEALTH NPI is 1730613563. The provider is registered as an organization entity type.
The provider Is Doing Business As Excel Corporate Care.

The provider's business location address is:

4220 GRAND AVE
MIDDLETOWN, OH
ZIP 45044-129
Phone: (513) 420-4700

The provider's authorized official is Paula Thompson .
The authorized official title is President & Ceo and has the following contact phone number (937) 208-6400.

The CLIA number assigned to this NPI record is 36D0706082 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2017 and was last updated on 4/19/2017.


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
1261QX0100XClinic/CenterOccupational MedicineYes

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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