| Premiere Providers, Pllc | |
|
112 S Public Sq Greensburg KY 42743-1533 | |
| (270) 932-4284 | |
| (270) 932-4285 |
| Full Name | Premiere Providers, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 112 S Public Sq, Greensburg, Kentucky |
| Authorized Official Name and Position | Ronda Leigh Hart (OWNER) |
| Authorized Official Contact | 5023380524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiere Providers, Pllc 112 S Public Sq Greensburg KY 42743-1533 Ph: () - | Premiere Providers, Pllc 112 S Public Sq Greensburg KY 42743-1533 Ph: (270) 932-4284 |
| NPI Number | 1144250960 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144250960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Kentucky) | Primary |
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