PREMIER CARE OF OHIO LLC NPI 1043641293

NPI Information

NPI: 1043641293
Provider Name: PREMIER CARE OF OHIO, LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 36D2087389

Address:
1380 DUBLIN RD STE 100
COLUMBUS, OH
ZIP 43215
Phone: (614) 488-7117
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PREMIER CARE OF OHIO, LLC is a methadone clinic center in Columbus, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. PREMIER CARE OF OHIO, LLC NPI is 1043641293. The provider is registered as an organization entity type.

The provider's business location address is:

1380 DUBLIN RD STE 100
COLUMBUS, OH
ZIP 43215-025
Phone: (614) 488-7117
Fax: (614) 488-7118

The provider's authorized official is Cindy Gaither .
The authorized official title is Revenue Cycle Director and has the following contact phone number (480) 935-5755.

The CLIA number assigned to this NPI record is 36D2087389 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2013 and was last updated on 10/20/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	261QM2800X	Clinic/Center	Methadone			Yes

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

NPI Synchronization or Removal

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