Provider Demographics
NPI:1013237015
Name:PREMIER PHYSICIANS CENTERS INC
Entity Type:Organization
Organization Name:PREMIER PHYSICIANS CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DICK
Authorized Official - Middle Name:
Authorized Official - Last Name:FINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:440-895-5036
Mailing Address - Street 1:PO BOX 639004
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-9004
Mailing Address - Country:US
Mailing Address - Phone:440-895-5010
Mailing Address - Fax:440-895-5050
Practice Address - Street 1:25200 CENTER RIDGE RD
Practice Address - Street 2:SUITE 1200
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4141
Practice Address - Country:US
Practice Address - Phone:440-331-2060
Practice Address - Fax:440-331-3084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5638900001Medicare NSC