Provider Demographics
NPI:1396094918
Name:PREMIERE CASE MANAGEMENT
Entity type:Organization
Organization Name:PREMIERE CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:NJIRAINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-249-4193
Mailing Address - Street 1:PO BOX 8894
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83707-2894
Mailing Address - Country:US
Mailing Address - Phone:208-249-4193
Mailing Address - Fax:
Practice Address - Street 1:518 N 8TH ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-5515
Practice Address - Country:US
Practice Address - Phone:208-249-4193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management