Provider Demographics
NPI:1578024303
Name:PERMIAN PREMIER HEALTH SERVICES INC
Entity Type:Organization
Organization Name:PERMIAN PREMIER HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF STEWARD MEDICAL GROUP
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-341-8800
Mailing Address - Street 1:117 SEABOARD LN STE D200
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2879
Mailing Address - Country:US
Mailing Address - Phone:615-467-4469
Mailing Address - Fax:
Practice Address - Street 1:2301 S GREGG ST
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-5531
Practice Address - Country:US
Practice Address - Phone:432-267-5531
Practice Address - Fax:432-268-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health