Healthcare Provider Details
I. General information
NPI: 1245146935
Provider Name (Legal Business Name): PREMIER PHYSICIANS CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25200 CENTER RIDGE RD STE 2400
WESTLAKE OH
44145-4152
US
IV. Provider business mailing address
PO BOX 639004
CINCINNATI OH
45263-9004
US
V. Phone/Fax
- Phone: 440-497-6341
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DICK
FINTZ
Title or Position: CFO
Credential:
Phone: 440-895-5036