Primed Physicians

LBN: Premier Integrated Medical Assoc Ltd
Primed Physicians is an health care organization with primary practice located at 2322 Lakeview Dr , Beavercreek OH 45431. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Premier Integrated Medical Assoc Ltd can be contacted via phone (937) 320-3848, or through Couch, Mark A via phone (937) 898-3600.

Contact Information

Primary practice address
2322 Lakeview Dr Beavercreek OH 45431
Phone: (937) 320-3848
Fax: (937) 320-3848
Website:
Map and Directions
Authorized official contact:
Name: Couch, Mark A Doctor of Medicine (MD)
Phone: (937) 898-3600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1023075330
LBN Legal business name Premier Integrated Medical Assoc Ltd
DBA Doing business as Primed Physicians
Authorized official Couch, Mark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 15th, 2019 - about 6 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 1023075330 NPPES
Ohio MEDICAID 2106232
Ohio Other CA2478

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