Primed Physicains

LBN: Premier Integrated Medical Assoc Ltd
Primed Physicains is an health care organization with primary practice located at 540 Lincoln Park Blvd Suite 200, Kettering OH 45429-6401. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Premier Integrated Medical Assoc Ltd can be contacted via phone (937) 293-1117, or through Couch, Mark A via phone (937) 898-3600.

Contact Information

Primary practice address
540 Lincoln Park Blvd Suite 200 Kettering OH 45429-6401
Phone: (937) 293-1117
Fax: (937) 298-4728
Website:
Map and Directions
Authorized official contact:
Name: Couch, Mark A Doctor of Medicine (MD)
Phone: (937) 898-3600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1750349551
LBN Legal business name Premier Integrated Medical Assoc Ltd
DBA Doing business as Primed Physicains
Authorized official Couch, Mark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 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 1750349551 NPPES
Ohio MEDICAID 0115333

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