Premier CCS, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PREMIER CCS, INC.

Practice address

1209 Hill Rd N # 242
Pickerington, OH 43147-8888

Phone

(800) 305-0879

Fax

(800) 221-6893

NPI assigned

Sep 22, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Renee Christine Klautky, PHD CDMS CLCP LSW

Title

Cfo/Owner

Phone

(800) 305-0879

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1003124298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 HILL RD N # 242",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478888",
            "telephone_number": "800-305-0879",
            "fax_number": "800-221-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 HILL RD N # 242",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478888",
            "telephone_number": "800-305-0879",
            "fax_number": "800-221-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CCS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "KLAUTKY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CFO/OWNER",
        "authorized_official_telephone_number": "800-305-0879",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD CDMS CLCP LSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.