# PREMIER PHYSICIANS CENTERS INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREMIER PHYSICIANS CENTERS INC
- **Other names:** Ridgepark Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174108385
- **Legal business name:** PREMIER PHYSICIANS CENTERS INC
- **Authorized official:** CHARLES MICA (COO)
- **Authorized official phone:** (440) 895-5057

## Contact information

- **Practice address:** 7575 NORTHCLIFF AVE STE 102, BROOKLYN, OH 44144-3205
- **Practice address phone:** (216) 749-8265
- **Practice address fax:** (216) 749-8266
- **Mailing address:** 24500 CENTER RIDGE RD STE 375, WESTLAKE, OH 44145-5631
- **Mailing address phone:** (440) 467-1954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2021
- **Last updated:** 03/10/2021