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NPI Code Detail

MEDICARE: PREMIER HEALTH ASSOCIATES INC

MEDICARE: PREMIER HEALTH ASSOCIATES INC
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
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790708741
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER HEALTH ASSOCIATES INC
Provider Business Mailing Address
First Line : PO BOX 8002
Second Line :
City : SALEM
State : NH
Zip : 03079-8002
Country : US
Telephone Number : 800-927-0035
Fax Number : 603-890-1236
Provider Business Practice Location Address
First Line : 22792 HARRISBURG WESTVILLE RD
Second Line :
City : ALLIANCE
State : OH
Zip : 44601-9224
Country : US
Telephone Number : 330-823-4000
Fax Number : 330-829-2919
Authorized Official
Title or Position : SHAREHOLDER
Name : MICHELLE AHMED
Credential : MD
Telephone Number : 330-823-4000
Provider Enumeration Date : 07/25/2006
Last Update Date : 11/14/2016

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Directions to “PREMIER HEALTH ASSOCIATES INC ” Practice Location

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