Premiere Health Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

PREMIERE HEALTH INC

Practice address

321 E Chapel Hill St Ste 208
Durham, NC 27701-3351

Phone

(919) 697-1310

NPI assigned

Jun 16, 2020

Last updated

Jul 28, 2020By 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

Charmaine Mendoza

Title

Chief Operating Officer

Phone

(804) 895-2563

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1750906673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E CHAPEL HILL ST STE 208",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013351",
            "telephone_number": "919-697-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E CHAPEL HILL ST STE 208",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013351",
            "telephone_number": "919-697-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "804-895-2563"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premise Health of North Carolina Medical PC (BCBSNC Employee Health Center RDC)
• Premise Health of North Carolina Medical PC (Fidelity Health & Wellness Center)

• Non-emergency Medical Transport (VAN) in Durham, NC
• Providers in Durham, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.