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PREMIER CARE OF OHIO LLC NPI 1730802513


NPI Information

NPI: 1730802513
Provider Name: PREMIER CARE OF OHIO, LLC

Doing Business As: COMMUNITY MEDICAL SERVICES - GRAFTON CAMP DOC

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
2052-2308 WOOSTER-AVON LAKE RD
GRAFTON, OH
ZIP 44044
Phone: (602) 248-8886
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PREMIER CARE OF OHIO, LLC is a methadone clinic center in Grafton, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. PREMIER CARE OF OHIO, LLC NPI is 1730802513. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Medical Services - Grafton Camp Doc.

The provider's business location address is:

2052-2308 WOOSTER-AVON LAKE RD
GRAFTON, OH
ZIP 44044
Phone: (602) 248-8886
Fax: (480) 687-7361

The provider's authorized official is Cindy Gaither .
The authorized official title is Vice President Revenue Cycle Mgmt and has the following contact phone number (602) 248-8886.

The enumeration date for this NPI number is 9/26/2022 and was last updated on 2/9/2024.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3251S00000XCommunity/Behavioral HealthNo
4101YA0400XCounselorAddiction (Substance Use Disorder)No
5261QM2800XClinic/CenterMethadoneYes

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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