<Unavail>

LBN: Premier Integrated Medical Assoc Ltd
<Unavail> is an health care organization with primary practice located at 7211 N Main St Suite 1, Dayton OH 45415-2566. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Premier Integrated Medical Assoc Ltd can be contacted via phone (937) 274-2117, or through Couch, Mark A via phone (937) 878-3600.

Contact Information

Primary practice address
7211 N Main St Suite 1 Dayton OH 45415-2566
Phone: (937) 274-2117
Fax: (937) 274-9809
Website:
Map and Directions
Authorized official contact:
Name: Couch, Mark A Doctor of Medicine (MD)
Phone: (937) 878-3600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1043277346
LBN Legal business name Premier Integrated Medical Assoc Ltd
DBA Doing business as <Unavail>
Authorized official Couch, Mark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 15th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043277346 NPPES
Ohio MEDICAID 2186174

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