Premier Health S.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

37832 Issued in WI

Legal business name

PREMIER HEALTH S.C.

Practice address

1540 Lyon Dr
Neenah, WI 54956-5069

Phone

(920) 727-4946

Fax

(920) 727-4956

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ifueko Belinda Okundaye, M.D.

Title

President

Phone

(920) 727-4946

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1275549594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LYON DR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549565069",
            "telephone_number": "920-727-4946",
            "fax_number": "920-727-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 LYON DR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549565069",
            "telephone_number": "920-727-4946",
            "fax_number": "920-727-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "OKUNDAYE",
        "authorized_official_first_name": "IFUEKO",
        "authorized_official_middle_name": "BELINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-727-4946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "37832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32229200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina L Potokar, MS, PA-C
• Julie A Poulin Siefert, PT
• Eddie Nelson Powell II, MD
• Thomas Powell, MSW
• Robert B. Prehn, M.D.
• Kathleen Ray Price, MD
• Steven James Price, MD
• Margaret G Prosser, PT
• Provisional Staffing, LLC
• Psychological and Behavioral Health of the Fox Cities

• Clinic/Center in Neenah, WI
• Providers in Neenah, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.