Provider Demographics
NPI:1659700763
Name:PREMIER HEALTHCARE INVESTMENTS
Entity Type:Organization
Organization Name:PREMIER HEALTHCARE INVESTMENTS
Other - Org Name:FLINT RIVER RURAL HEALTH CLINIC - OGLETHORPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPFENSPERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-621-6140
Mailing Address - Street 1:PO BOX 538579
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30353-8579
Mailing Address - Country:US
Mailing Address - Phone:478-472-3100
Mailing Address - Fax:478-472-3248
Practice Address - Street 1:502 SUMTER ST
Practice Address - Street 2:
Practice Address - City:MONTEZUMA
Practice Address - State:GA
Practice Address - Zip Code:31063-1734
Practice Address - Country:US
Practice Address - Phone:478-472-3100
Practice Address - Fax:478-472-3248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health