Organization Active NPI

Premier Health Care LLC

  • Urgent Care Clinic/Center
  • Wilmington, OH
National Provider Identifier
1619209475
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
35-088053 Issued in OH
Legal business name
PREMIER HEALTH CARE LLC
Practice address
2845 Progress Way
Wilmington, OH 45177
Phone
(937) 366-1082
Fax
(937) 366-1083
NPI assigned
Feb 4, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Son M Bach, MD
Title
Medical Director
Phone
(937) 366-1082

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

4530 Eastgate Blvd
Cincinnati, OH 45245
Phone (513) 752-1999

519 S Breiel Blvd
Middletown, OH 45044
Phone (513) 433-1288

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 35-088053 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

2845 Progress Way
Wilmington, OH 45177

Mailing address

P.O. Box 644671
Pittsburgh, OH 15264-4671
Phone (937) 366-1082

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3027763MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2016.

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1619209475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 644671",
            "city": "PITTSBURGH",
            "state": "OH",
            "postal_code": "152644671",
            "telephone_number": "937-366-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 PROGRESS WAY",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "45177",
            "telephone_number": "937-366-1082",
            "fax_number": "937-366-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "BACH",
        "authorized_official_first_name": "SON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "937-366-1082",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OH",
            "license": "35-088053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3027763",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.