<Unavail>
LBN: Premier Integrated Medical Assoc. Ltd.
<Unavail> is an health care organization with primary practice located at 7271 N Main St Suite 2, Dayton OH 45415-2567. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Premier Integrated Medical Assoc. Ltd. can be contacted via phone (937) 293-8322, or through Couch, Mark via phone (937) 898-3600.
Contact Information
Primary practice address
7271 N Main St Suite 2
Dayton OH 45415-2567
Phone: (937) 293-8322
Fax: (937) 278-7112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X |
Profile Details
| NPI number | 1356308761 |
|---|---|
| LBN Legal business name | Premier Integrated Medical Assoc. Ltd. |
| DBA Doing business as | <Unavail> |
| Authorized official | Couch, Mark Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Dec 31st, 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 | 1356308761 | NPPES |
| Ohio | MEDICAID | 2600831 |
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