Provider Demographics
NPI:1184048415
Name:PREMIER FAMILY MEDICINE PC
Entity type:Organization
Organization Name:PREMIER FAMILY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:STROHMYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-991-2200
Mailing Address - Street 1:249 OLSON DR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-2974
Mailing Address - Country:US
Mailing Address - Phone:402-991-2200
Mailing Address - Fax:402-991-2242
Practice Address - Street 1:249 OLSON DR STE 111
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-2974
Practice Address - Country:US
Practice Address - Phone:402-991-2200
Practice Address - Fax:402-991-2242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100263998-00Medicaid
NE1275565939OtherBCBS OF NE
NENA2493Medicare PIN