PRIME ASSURE LLC NPI 1447699178

NPI Information

NPI: 1447699178
Provider Name: PRIME ASSURE LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1060 WINTER LN
TALLAHASSEE, FL
ZIP 32311
Phone: (850) 524-1577
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PRIME ASSURE LLC is a health service clinic center in Tallahassee, FL. PRIME ASSURE LLC NPI is 1447699178. The provider is registered as an organization entity type.

The provider's business location address is:

1060 WINTER LN
TALLAHASSEE, FL
ZIP 32311-267
Phone: (850) 524-1577

The provider's authorized official is Uloma D Onubogu .
The authorized official title is Manager and has the following contact phone number 85085241577.

The enumeration date for this NPI number is 6/16/2013 and was last updated on 10/25/2016.

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	261QP2300X	Clinic/Center	Primary Care	2721822	FLORIDA	No
2	261QH0100X	Clinic/Center	Health Service	2721822	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HL375A	MEDICARE OSCAR/CERTIFICATION
2	009484200	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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