| Premier Integrated Medical Assoc Ltd | |
|
1900 Composite Dr Kettering OH 45420-1475 | |
| (937) 293-8419 | |
| (937) 293-1545 |
| Full Name | Premier Integrated Medical Assoc Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 1900 Composite Dr, Kettering, Ohio |
| Authorized Official Name and Position | Mark A Couch (PRESIDENT) |
| Authorized Official Contact | 9378983600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Integrated Medical Assoc Ltd 1900 Composite Dr Kettering OH 45420-1475 Ph: (937) 293-8419 | Premier Integrated Medical Assoc Ltd 1900 Composite Dr Kettering OH 45420-1475 Ph: (937) 293-8419 |
| NPI Number | 1285690339 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 12/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285690339 | NPI | - | NPPES |
| ========= | Other | TRICARE GROUP NUMBER | |
| 2112958 | Medicaid | OH | |
| CA2478 | Other | OH | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
Kevin G Malloy Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5250 Far Hills Ave, Ste 250, Kettering, OH 45429 Phone: 937-435-6500 Fax: 937-435-6514 | |
Kettering Affiliated Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Lincoln Park Boulevard, Suite 200, Kettering Breast Evaluation Center, Kettering, OH 45429 Phone: 937-299-0099 | |
Post Acute Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1251 E Dorothy Ln, Suite A, Kettering, OH 45419 Phone: 513-575-6325 Fax: 937-853-0552 | |
Infectious Diseases Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3533 Southern Blvd Ste 4200, Kettering, OH 45429 Phone: 937-572-7648 Fax: 937-832-8279 | |
Internal Medicine Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-384-6845 Fax: 937-384-6939 | |
Alliance Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-522-9260 | |
Fred L Tanzer Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4750 Hempstead Station Dr, Kettering, OH 45429 Phone: 513-543-3746 Fax: 513-557-3347 |