Premier Heart Associates, Inc

LBN: Premier Heart Associates, Inc
Premier Heart Associates, Inc is an health care organization with primary practice located at 9000 N Main St Ste 101, Dayton OH 45415-1184. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Premier Heart Associates, Inc can be contacted via phone (937) 832-2425, or through Broderick, George T via phone (937) 832-2425.

Contact Information

Primary practice address
9000 N Main St Ste 101 Dayton OH 45415-1184
Fax: (937) 832-9804
Website:
Authorized official contact:
Name: Broderick, George T Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1881690964
LBN Legal business name Premier Heart Associates, Inc
DBA Doing business as
Authorized official Broderick, George T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2005
Last updated Oct 12th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881690964 NPPES
Ohio MEDICAID 2212117

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