PREMIER PHYSICIANS CENTERS INC. NPI 1174108385

NPI Information

NPI: 1174108385
Provider Name: PREMIER PHYSICIANS CENTERS INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 36D0336123

Address:
7575 NORTHCLIFF AVE STE 102
BROOKLYN, OH
ZIP 44144
Phone: (216) 749-8265
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PREMIER PHYSICIANS CENTERS INC. is a multi-specialty clinic center in Brooklyn, OH. PREMIER PHYSICIANS CENTERS INC. NPI is 1174108385. The provider is registered as an organization entity type.

The provider's business location address is:

7575 NORTHCLIFF AVE STE 102
BROOKLYN, OH
ZIP 44144-205
Phone: (216) 749-8265
Fax: (216) 749-8266

The provider's authorized official is Charles Mica .
The authorized official title is Coo and has the following contact phone number (440) 895-5057.

The CLIA number assigned to this NPI record is 36D0336123 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/10/2021 and was last updated on 3/10/2021.

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	261Q00000X	Clinic/Center				No
2	261QM1300X	Clinic/Center	Multi-Specialty			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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