NPI 1407390800

Premier Healthcare Services

Organisation Preferred Provider Organization Milwaukee, WI

Practice location

Address: 10425 W North Ave Suite 345, Milwaukee, WI 53226-2416
Phone: (855) 224-5810

Authorised official

Name: Kimberly Rux
Title: Division Director
Phone: 85520245810

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 17440000Z (WI)

Other Preferred Provider Organization providers in Wisconsin →

Registry record

NPI: 1407390800
Entity type: Organization
NPI issued: 5 Dec 2016
Record last updated: 5 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.