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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285690339 | NPPES |
| Other | ========= | TRICARE GROUP NUMBER | |
| MEDICAID | 2112958 | TRICARE GROUP NUMBER | |
| Other | CA2478 | TRICARE GROUP NUMBER |
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