NPIMap

Organization Active NPI

Premier Commuity Health

  • Student Health Clinic/Center
  • Wilberforce, OH
National Provider Identifier
1821785809
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
PREMIER COMMUITY HEALTH
Practice address
1055 N Bickett Rd
Wilberforce, OH 45384-5801
Phone
(833) 427-5634
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Sandra Haig
Title
Director, It & Revenue Cycle
Phone
(937) 208-6495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1055 N Bickett Rd
Wilberforce, OH 45384-5801

Mailing address

PO Box 933338
Cleveland, OH 44193-0037

Other names 1

  • Premier Health Clinic at Wilberforce University Student Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Community Health12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1821785809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933338",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N BICKETT RD",
            "city": "WILBERFORCE",
            "state": "OH",
            "postal_code": "453845801",
            "telephone_number": "833-427-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COMMUITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "HAIG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "DIRECTOR, IT & REVENUE CYCLE",
        "authorized_official_telephone_number": "937-208-6495"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Health Clinic at Wilberforce University Student Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilberforce, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.