Premium Support Services Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M5928 Issued in ID

Legal business name

PREMIUM SUPPORT SERVICES INC

Practice address

6568 S Federal Way
Ste 311
Boise, ID 83716-9277

Phone

(208) 284-0337

NPI assigned

Sep 28, 2009

Organization subpart

No

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

Authorized official

Name

Paul Rumore

Title

Ceo

Phone

(208) 284-0337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1003140724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6568 S FEDERAL WAY",
            "address_2": "STE 311",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837169277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6568 S FEDERAL WAY",
            "address_2": "STE 311",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837169277",
            "telephone_number": "208-284-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "RUMORE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-284-0337"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M5928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Health Systems PLLC
• Premier Physical Therapy Inc
• Premier Surgical Center, Inc
• Premiere Case Management
• Premise Health of Colorado Medical, P.C.
• Molly Vaughan Prengaman, APN, FNP-BC
• Robyn Prentice, LCSW
• Morgan Press, PSY.D., LPC
• Prestige Worldwide LPB LLC
• Preston-Wood and Associates, LLC

• Emergency Medicine Physician in Boise, ID
• Providers in Boise, ID by specialty
• Emergency Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.