Healthcare Provider Details

I. General information

NPI: 1326098609
Provider Name (Legal Business Name): PREMIER HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 MESSIMER DR
NEWARK OH
43055-1842
US

IV. Provider business mailing address

42 MESSIMER DR
NEWARK OH
43055-1842
US

V. Phone/Fax

Practice location:
  • Phone: 740-522-5641
  • Fax: 740-522-5642
Mailing address:
  • Phone: 740-522-5641
  • Fax: 740-522-5642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA STEVENSON
Title or Position: PRACTICE ADMINISTRATOR
Credential: CMM,CPC
Phone: 740-522-5641