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PREMIUM HEALTH CARE SERVICES NPI 1992147706


NPI Information

NPI: 1992147706
Provider Name: PREMIUM HEALTH CARE SERVICES
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
21436 N 20TH AVE
STE 211
PHOENIX, AZ
ZIP 85027
Phone: (602) 329-8962
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PREMIUM HEALTH CARE SERVICES is a specialist in Phoenix, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PREMIUM HEALTH CARE SERVICES NPI is 1992147706. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21436 N 20TH AVE
STE 211
PHOENIX, AZ
ZIP 85027-612
Phone: (602) 329-8962
Fax: (623) 582-4893

The provider's authorized official is Larry Junior Alexander .
The authorized official title is Owner and has the following contact phone number (602) 329-4623.

The enumeration date for this NPI number is 7/22/2013 and was last updated on 7/22/2013.


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
1174400000XSpecialistYes

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: 11/14/2023

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.