Provider Demographics
NPI: | 1982835005 |
---|---|
Name: | PREMIER PARTNERS, INC. |
Entity type: | Organization |
Organization Name: | PREMIER PARTNERS, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | DAVID |
Authorized Official - Middle Name: | W |
Authorized Official - Last Name: | MATHEWS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 804-271-6750 |
Mailing Address - Street 1: | 4718 BELFIELD CT |
Mailing Address - Street 2: | |
Mailing Address - City: | RICHMOND |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 23237-2127 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 804-271-6750 |
Mailing Address - Fax: | 804-271-6751 |
Practice Address - Street 1: | 4718 BELFIELD CT |
Practice Address - Street 2: | |
Practice Address - City: | RICHMOND |
Practice Address - State: | VA |
Practice Address - Zip Code: | 23237-2127 |
Practice Address - Country: | US |
Practice Address - Phone: | 804-271-6750 |
Practice Address - Fax: | 804-271-6751 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-08-06 |
Last Update Date: | 2009-08-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
VA | 2705 047042A | 332BC3200X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332BC3200X | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment |