MEDICARE: CB PREMIER HEALTHCARE & HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse

General Provider Information

NPI Number	:	1215866736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CB PREMIER HEALTHCARE & HEALTH SERVICES

Provider Business Mailing Address
First Line	:	5717 MEYER AVE
Second Line	:
City	:	NEW MARKET
State	:	MD
Zip	:	21774-6322
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5717 MEYER AVE
Second Line	:
City	:	NEW MARKET
State	:	MD
Zip	:	21774-6322
Country	:	US
Telephone Number	:	903-771-3914
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAMELA HUDSON BAH
Credential	:	DNP
Telephone Number	:	903-771-3914

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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