Premier Medical Supply Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PREMIER MEDICAL SUPPLY INC

Practice address

2005 Valparaiso St
Valparaiso, IN 46383-3329

Phone

(945) 403-2756

Fax

(945) 403-2756

NPI assigned

Jul 16, 2026

Organization subpart

No

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

Authorized official

Name

Mohammad Saad Hassan

Title

President

Phone

(945) 403-2457

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1730009044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 VALPARAISO ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833329",
            "telephone_number": "945-403-2457",
            "fax_number": "945-403-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 VALPARAISO ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833329",
            "telephone_number": "945-403-2756",
            "fax_number": "945-403-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "SAAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "945-403-2457"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Porucznik
• Gloria Rose Potter, LCSW
• Summer Pradke
• Rajat Prakash, MD
• Amy J Pratte, P.T.
• Premiere Home Care Partners Inc
• Brooklyn Pressel
• Richard Allen Price, PSY.D.
• Zaria Price, PHARMD
• Prima Bella Women'S Health, PC

• Clinic/Center in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.