Primed Physicians

LBN: Premier Integrated Medical Assoc Ltd
Primed Physicians is an health care organization with primary practice located at 1900 Composite Dr , Kettering OH 45420-1475. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Premier Integrated Medical Assoc Ltd can be contacted via phone (937) 293-8419, or through Couch, Mark A via phone (937) 898-3600.

Contact Information

Primary practice address
1900 Composite Dr Kettering OH 45420-1475
Phone: (937) 293-8419
Fax: (937) 293-1545
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 / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1285690339
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 25th, 2006
Last updated Dec 10th, 2022 - about 3 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 1285690339 NPPES
Other ========= TRICARE GROUP NUMBER
MEDICAID 2112958 TRICARE GROUP NUMBER
Other CA2478 TRICARE GROUP NUMBER

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