| Premier Healthcare Llc | |
|
550 S Landmark Ave Bloomington IN 47403-3239 | |
| (812) 355-6900 | |
| (812) 355-3251 |
| Full Name | Premier Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 550 S Landmark Ave, Bloomington, Indiana |
| Authorized Official Name and Position | Wesley W Ratliff (PRESIDENT) |
| Authorized Official Contact | 8123313400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Healthcare Llc 550 S Landmark Ave Bloomington IN 47403-3239 Ph: (812) 355-6900 | Premier Healthcare Llc 550 S Landmark Ave Bloomington IN 47403-3239 Ph: (812) 355-6900 |
| NPI Number | 1548580764 |
|---|---|
| Provider Enumeration Date | 06/10/2010 |
| Last Update Date | 05/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548580764 | NPI | - | NPPES |
| 6440260001 | Other | IN | MEDICARE DME |
| 200987480 | Medicaid | IN |
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