Premier Healthcare

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PREMIER HEALTHCARE

Practice address

425 College Dr S
Ste #14
Devils Lake, ND 58301-3537

Phone

(701) 662-8662

Fax

(701) 662-8217

NPI assigned

Apr 30, 2015

Last updated

Apr 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amy S Cox, FNP-C

Title

President

Phone

(701) 662-8662

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1053798892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 COLLEGE DR S",
            "address_2": "STE #14",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013537",
            "telephone_number": "701-662-8662",
            "fax_number": "701-662-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 COLLEGE DR S",
            "address_2": "STE #14",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013537",
            "telephone_number": "701-662-8662",
            "fax_number": "701-662-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-662-8662",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Peterson
• Isaiah Pointon
• Michaela Poitra
• Natasha Skylar Poitra, MENTAL HEALTH TECH
• Jenny Potgieter, FNP
• Jennifer Linn Pyle, PEER SUPPORT
• Rachel Marie Quam, MSCCCSLP
• Andrew Quinn
• Daril Renee Rainesalo
• Ramsey Drug Inc

• Primary Care Clinic/Center in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Primary Care Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.