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PREMISE HEALTH EMPLOYER SOLUTIONS LLC NPI 1972860781


NPI Information

NPI: 1972860781
Provider Name: PREMISE HEALTH EMPLOYER SOLUTIONS LLC

Former Legal Business Name: TAKE CARE EMPLOYER SOLUTIONS LLC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 16D2136909

Address:
523 CHALAN PASAHERU
OLD COMMUTER TERMINAL
TAMUNING, GU
ZIP 96913
Phone: (641) 621-7670
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PREMISE HEALTH EMPLOYER SOLUTIONS LLC is a multi-specialty clinic center in Tamuning, GU. PREMISE HEALTH EMPLOYER SOLUTIONS LLC NPI is 1972860781. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Take Care Employer Solutions Llc.

The provider's business location address is:

523 CHALAN PASAHERU
OLD COMMUTER TERMINAL
TAMUNING, GU
ZIP 96913
Phone: (641) 621-7670
Fax: (671) 649-3872

The provider's authorized official is William D Wright .
The authorized official title is Secretary/general Counsel and has the following contact phone number (615) 577-5893.

The CLIA number assigned to this NPI record is 16D2136909 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 10/9/2017.


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
1261QU0200XClinic/CenterUrgent CareNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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

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