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PREMIERE HEALTH AND WELLNESS MEDICAL CENTER NPI 1942578554


NPI Information

NPI: 1942578554
Provider Name: PREMIERE HEALTH AND WELLNESS MEDICAL CENTER
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2609 N DUKE ST
SUITE 403
DURHAM, NC
ZIP 27704
Phone: (919) 416-4700
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PREMIERE HEALTH AND WELLNESS MEDICAL CENTER is an internal medicine in Durham, NC. 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. PREMIERE HEALTH AND WELLNESS MEDICAL CENTER NPI is 1942578554. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2609 N DUKE ST
SUITE 403
DURHAM, NC
ZIP 27704-048
Phone: (919) 416-4700
Fax: (919) 416-0821

The provider's authorized official is Venus Idette Pitts .
The authorized official title is Owner and has the following contact phone number (919) 416-4700.

The enumeration date for this NPI number is 12/9/2011 and was last updated on 3/13/2015.


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
1208000000XPediatrics145584NORTH CAROLINANo
2207R00000XInternal Medicine145584NORTH CAROLINAYes

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
12026035AOTHERNORTH CAROLINAMEDICARE ID
2I0818MEDICARE UPIN
3I08128MEDICARE UPINNORTH CAROLINA
489136E4MEDICAIDNORTH CAROLINA

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

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