| Premier Integrated Medical Assoc Ltd | |
|
243 W Central Ave Springboro OH 45066-1103 | |
| (937) 748-4814 | |
| (937) 748-4896 |
| Full Name | Premier Integrated Medical Assoc Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 243 W Central Ave, Springboro, Ohio |
| Authorized Official Name and Position | Mark A Couch (PRESIDENT) |
| Authorized Official Contact | 9378985600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Integrated Medical Assoc Ltd 25 Merchant St Ste 220 Cincinnati OH 45246-3740 Ph: (513) 533-1199 | Premier Integrated Medical Assoc Ltd 243 W Central Ave Springboro OH 45066-1103 Ph: (937) 748-4814 |
| NPI Number | 1801853262 |
|---|---|
| Provider Enumeration Date | 04/28/2006 |
| Last Update Date | 04/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801853262 | NPI | - | NPPES |
| 2178423 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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