Premium Health Care Services

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PREMIUM HEALTH CARE SERVICES

Practice address

21436 N 20TH Ave
Ste 211
Phoenix, AZ 85027-2612

Phone

(602) 329-8962

Fax

(623) 582-4893

NPI assigned

Jul 22, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Larry Junior Alexander

Title

Owner

Phone

(602) 329-4623

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1992147706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21436 N 20TH AVE",
            "address_2": "STE 211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272612",
            "telephone_number": "602-329-8962",
            "fax_number": "623-582-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21436 N 20TH AVE",
            "address_2": "STE 211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272612",
            "telephone_number": "602-329-8962",
            "fax_number": "623-582-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JUNIOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-329-4623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Arizona Medical PC (Premise Health Care Center)
• Premise Health of Arizona Medical PC (PGTI Wellness Center)
• Premise Health of Arizona Medical PC (USAA Phoenix)
• Premise Health of Arizona Medical, P.C. (Maricopa Health Center)
• Premium Behavior Clinic, LLC
• Premium Legacy Healthcare Inc
• Agnes J Premkumar, MD
• Arcot S Premkumar, MD
• Celina Premkumar
• Prempeh Home Care Services

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.