<Unavail>
LBN: Premier Integrated Medical Assoc Ltd
<Unavail> is an health care organization with primary practice located at 4441 Far Hills Ave , Kettering OH 45429-2405. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Premier Integrated Medical Assoc Ltd can be contacted via phone (937) 298-7351, or through Couch, Mark A via phone (937) 898-3600.
Contact Information
Primary practice address
4441 Far Hills Ave
Kettering OH 45429-2405
Phone: (937) 298-7351
Fax: (937) 298-9458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X |
Profile Details
| NPI number | 1336107168 |
|---|---|
| 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 | May 2nd, 2006 |
| Last updated | Dec 30th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336107168 | NPPES |
| Ohio | MEDICAID | 0115315 |
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