Provider Demographics
NPI:1275789695
Name:PRIME TOUCH INC
Entity Type:Organization
Organization Name:PRIME TOUCH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:B
Authorized Official - Last Name:BORJA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:989-274-9345
Mailing Address - Street 1:609 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-3209
Mailing Address - Country:US
Mailing Address - Phone:989-391-9975
Mailing Address - Fax:
Practice Address - Street 1:609 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-3209
Practice Address - Country:US
Practice Address - Phone:989-391-9975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0Z91014OtherBCBS
MI3370275OtherMOLINA
MI103370275OtherMEDICAID
MI103370275OtherMEDICAID