Organization Active NPI

Premier Choice LLC

  • Case Manager/Care Coordinator
  • Harrisburg, PA
National Provider Identifier
1184194656
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
PREMIER CHOICE LLC
Practice address
470 N 48TH St
Harrisburg, PA 17111-3421
Phone
(717) 941-9033
Fax
(717) 340-0008
NPI assigned
Nov 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Roquelyn Bingaman, BS
Title
Director
Phone
(717) 941-9033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

470 N 48TH St
Harrisburg, PA 17111-3421

Mailing address

470 N 48TH St
Harrisburg, PA 17111-3421
Phone (717) 941-9033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1184194656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N 48TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113421",
            "telephone_number": "717-941-9033",
            "fax_number": "717-340-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N 48TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113421",
            "telephone_number": "717-941-9033",
            "fax_number": "717-340-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "BINGAMAN",
        "authorized_official_first_name": "ROQUELYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-941-9033",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.