Premier Provider Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PREMIER PROVIDER SERVICES

Practice address

41 Mechanic St, Windsor, CT 06095
#100-1005
Windsor, CT 06095

Phone

(203) 441-5360

NPI assigned

Sep 21, 2026

Last updated

Sep 21, 2026By 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

Shawnee Genese Rochester

Title

Ceo

Phone

(203) 441-5360

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1417869751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MECHANIC ST, WINDSOR, CT 06095",
            "address_2": "#100-1005",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "06095",
            "telephone_number": "203-441-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MECHANIC ST, WINDSOR, CT 06095",
            "address_2": "#100-1005",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "06095",
            "telephone_number": "203-441-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PROVIDER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "ROCHESTER",
        "authorized_official_first_name": "SHAWNEE",
        "authorized_official_middle_name": "GENESE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-441-5360"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Windsor, CT
• Providers in Windsor, CT by specialty
• Health Service Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.