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PREMIER HEALTHCARE LLC NPI 1548580764


NPI Information

NPI: 1548580764
Provider Name: PREMIER HEALTHCARE LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
550 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 355-6900
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PREMIER HEALTHCARE LLC is an internal medicine in Bloomington, IN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PREMIER HEALTHCARE LLC NPI is 1548580764. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

550 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403-239
Phone: (812) 355-6900
Fax: (812) 355-3251

The provider's authorized official is Wesley W Ratliff .
The authorized official title is President and has the following contact phone number (812) 331-3400.

The enumeration date for this NPI number is 6/10/2010 and was last updated on 5/9/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207QS0010XFamily MedicineSports MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
5207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
6207RG0100XInternal MedicineGastroenterologyNo
7207RH0003XInternal MedicineHematology & OncologyNo
8207RI0011XInternal MedicineInterventional CardiologyNo
9207RI0200XInternal MedicineInfectious DiseaseNo
10207RP1001XInternal MedicinePulmonary DiseaseNo
11207RR0500XInternal MedicineRheumatologyNo
12207RS0012XInternal MedicineSleep MedicineNo
13208M00000XHospitalistNo
14363L00000XNurse PractitionerNo
15207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M100021523MEDICARE PININDIANA
26440260001OTHERINDIANAMEDICARE DME
3200987480MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.