Premier Emergency Services, Inc

Organization Active NPI Emergency Medicine Physician · Westminster, CO

NPI 1962037440 · NPPES record last updated Mar 5, 2020

Key facts

NPI
1962037440
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
PREMIER EMERGENCY SERVICES, INC
Practice address
7233 Church Ranch Blvd
Westminster, CO 80021-4094
Phone
(330) 493-4443
NPI assigned
Mar 5, 2020
Organization subpart
No

Authorized official

Name
Dominic Bagnoli
Title
Ceo
Phone
(330) 493-4443

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 206

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

View all 206

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150128001221 CO Part B Supplier - Clinic/Group Practice 0244554970 Receives reassigned benefits from 212 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Westminster, CO

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207P00000X Yes

Addresses

Primary practice location

7233 Church Ranch Blvd
Westminster, CO 80021-4094

Mailing address

4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443

Other providers in Westminster, CO

All providers in Westminster, CO · Emergency Medicine Physician in Colorado

Sources for this page

Verify at the official NPI Registry.