# PREMIER HEALTHCARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659684462
- **Authorized official:** DR. WESLEY W RATLIFF M.D. (PRESIDENT)
- **Authorized official phone:** (812) 355-6900

## Contact information

- **Practice address:** 2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
- **Practice address phone:** (812) 355-2300
- **Practice address fax:** (812) 355-2302
- **Mailing address:** 550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
- **Mailing address phone:** (812) 355-6900
- **Mailing address fax:** (812) 355-3251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2010
- **Last updated:** 05/09/2013