Active NPI
Premier Health Care LLC
- Urgent Care Clinic/Center
- Wilmington, OH
National Provider Identifier
1619209475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 35-088053
- 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.
-
- Family Medicine Physician
- Beaumont, CA
- NPI 1457454738
National Provider Directory
National Provider DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 35-088053 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3027763 | Medicaid | OH |
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.