Provider Demographics
NPI:1295487114
Name:PREMIER MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:PREMIER MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERRA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:ERFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-280-6054
Mailing Address - Street 1:11066 LIMA ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:CO
Mailing Address - Zip Code:80640-7713
Mailing Address - Country:US
Mailing Address - Phone:720-280-6054
Mailing Address - Fax:
Practice Address - Street 1:11066 LIMA ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:CO
Practice Address - Zip Code:80640-7713
Practice Address - Country:US
Practice Address - Phone:720-280-6054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty