Premier Sleep Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREMIER SLEEP CENTER

Practice address

400 Lincoln Dr
Herrin, IL 62948-3757

Phone

(618) 998-0696

Fax

(618) 998-0686

NPI assigned

Nov 2, 2007

Last updated

Nov 2, 2007By 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

Mr. Mark Sexton

Title

Co-Owner

Phone

(270) 575-0080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1306025663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 PARISA DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034584",
            "telephone_number": "270-575-0080",
            "fax_number": "270-575-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LINCOLN DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483757",
            "telephone_number": "618-998-0696",
            "fax_number": "618-998-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SLEEP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "270-575-0080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Karl Pons, MD
• Kristina Marie Potanos, MD
• Ryan Power, DC
• Practical Network Consulting Inc
• David Collin Prather
• Priority Medical Group SC
• Betsy Putbrese, PT
• Amanda P Queen, RBT
• Stephanie Nichole Rafe, LPN
• Kevin L Rainey, PAC

• Durable Medical Equipment & Medical Supplies in Herrin, IL
• Providers in Herrin, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.