Provider Demographics
NPI:1376673590
Name:PREMIER HEALTH SERVICES,INC
Entity Type:Organization
Organization Name:PREMIER HEALTH SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:Y
Authorized Official - Last Name:YUMERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-871-0920
Mailing Address - Street 1:6501 NW 36TH ST
Mailing Address - Street 2:SUITE 390
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6959
Mailing Address - Country:US
Mailing Address - Phone:305-871-0920
Mailing Address - Fax:305-871-0960
Practice Address - Street 1:6501 NW 36TH ST
Practice Address - Street 2:SUITE 390
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6959
Practice Address - Country:US
Practice Address - Phone:305-871-0920
Practice Address - Fax:305-871-0960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6251261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center