NPIMap

Organization Active NPI

Premier Community Health

Doing business as Springboro Health Clinic

  • General Practice Physician
  • Springboro, OH
National Provider Identifier
1306652300
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PREMIER COMMUNITY HEALTH
Doing business as
Springboro Health Clinic
Practice address
1629 S Main St
Springboro, OH 45066-2504
Phone
(937) 208-6400
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Sandra Haig
Title
Senior Director Operations
Phone
(937) 208-6495

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary
Occupational Medicine Clinic/Center 261QX0100X NU

Addresses

Primary practice location

1629 S Main St
Springboro, OH 45066-2504

Mailing address

PO Box 933338
Cleveland, OH 44193-0037

Other names 1

  • Springboro Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Community Health12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1629 S Main St
Springboro, OH 45066
Phone (937) 208-6400

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1306652300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933338",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 S MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450662504",
            "telephone_number": "937-208-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "HAIG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "937-208-6495"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springboro Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.