# PREMIER PHYSICIANS CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREMIER PHYSICIANS CENTERS, INC.
- **Other names:** Sleep Center at Southwest General Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104412477
- **Legal business name:** PREMIER PHYSICIANS CENTERS, INC.
- **Authorized official:** CHARLES MICA (COO)
- **Authorized official phone:** (440) 895-5057

## Contact information

- **Practice address:** 18697 BAGLEY RD \# A317, MIDDLEBURG HEIGHTS, OH 44130-3417
- **Practice address phone:** (440) 816-6030
- **Practice address fax:** (440) 816-4268
- **Mailing address:** 24500 CENTER RIDGE RD STE 375, WESTLAKE, OH 44145-5631
- **Mailing address phone:** (440) 895-5010
- **Mailing address fax:** (440) 895-5050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/21/2020
- **Last updated:** 12/21/2020