Organization
PREMIER HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SON M BACH MD (MEDICAL DIRECTOR)
(937) 366-1082
Entity
Organization
Contact information
Practice address
2845 PROGRESS WAY, WILMINGTON, OH 45177
(937) 366-1082
(937) 366-1083
Mailing address
P.O. BOX 644671, PITTSBURGH, OH 15264-4671
(937) 366-1082
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
35-088053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3027763
—
OH
Enumeration date
02/04/2010
Last updated
02/17/2016
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