PREMIER CARE OF OHIO LLC NPI 1851957021

NPI Information

NPI: 1851957021
Provider Name: PREMIER CARE OF OHIO LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

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 1851957021. 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

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 enumeration date for this NPI number is 5/14/2019 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

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	0270618	MEDICAID	OHIO

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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