Premiere Health And Wellness Medical Center
LBN: Premiere Health And Wellness Medical Center
Premiere Health And Wellness Medical Center is an health care organization with primary practice located at 2609 N Duke St Suite 403, Durham NC 27704-3048. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Premiere Health And Wellness Medical Center can be contacted via phone (919) 416-4700, or through Pitts, Venus Idette via phone (919) 416-4700.
Contact Information
Primary practice address
2609 N Duke St Suite 403
Durham NC 27704-3048
Phone: (919) 416-4700
Fax: (919) 416-0821
Website:
Authorized official contact:
Name: Pitts, Venus Idette Doctor of Medicine (MD)
Phone: (919) 416-4700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 145584 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 145584 | North Carolina |
Profile Details
| NPI number | 1942578554 |
|---|---|
| LBN Legal business name | Premiere Health And Wellness Medical Center |
| DBA Doing business as | |
| Authorized official | Pitts, Venus Idette Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 9th, 2011 |
| Last updated | Mar 13th, 2015 - about 9 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 | 1942578554 | NPPES |
| North Carolina | Other | 2026035A | MEDICARE ID |
| North Carolina | MEDICAID | 89136E4 | MEDICARE ID |
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