Provider Demographics
NPI:1699408534
Name:PREMIER HEALTH GROUP INC
Entity Type:Organization
Organization Name:PREMIER HEALTH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDEN
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBUC
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:413-427-3476
Mailing Address - Street 1:35 TURKEY HILL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9032
Mailing Address - Country:US
Mailing Address - Phone:413-323-1115
Mailing Address - Fax:413-650-5548
Practice Address - Street 1:35 TURKEY HILL RD STE 105
Practice Address - Street 2:
Practice Address - City:BELCHERTOWN
Practice Address - State:MA
Practice Address - Zip Code:01007-9032
Practice Address - Country:US
Practice Address - Phone:413-323-1115
Practice Address - Fax:413-650-5548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty