Premier Medical Group, Inc.
LBN: Premier Medical Group, Inc.
Premier Medical Group, Inc. is an health care organization with primary practice located at 710 Genesis Blvd , Bridgeport WV 26330-9668. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Premier Medical Group, Inc. can be contacted via phone (304) 808-6081, or through Sturtevant, Christine D via phone (304) 808-6081.
Contact Information
Primary practice address
710 Genesis Blvd
Bridgeport WV 26330-9668
Phone: (304) 808-6081
Fax: (304) 423-5032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | 51D0898849 | West Virginia |
Profile Details
| NPI number | 1679672505 |
|---|---|
| LBN Legal business name | Premier Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Sturtevant, Christine D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 21st, 2014 - about 11 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 | 1679672505 | NPPES |
| West Virginia | Other | 1540199 | UMWA MEDICARE |
| West Virginia | Other | 001710500 | UMWA MEDICARE |
| West Virginia | Other | CJ7607 | UMWA MEDICARE |
| West Virginia | MEDICAID | 0010197000 | UMWA MEDICARE |
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