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PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER , NPI 1124025457

Nursing Facility/Intermediate Care Facility in MARION, IN

Last Updated on : Aug 22,2020

PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER , NPI 1124025457

About PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER (NPI 1124025457)


PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER is a Nursing Facility/Intermediate Care Facility in MARION, United States .

1124025457 is NPI number of PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER.

PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER's primary taxonomy code based on NPI Lookup is 313M00000X with license number 05-000089-2. This taxonomy code refers to Nursing Facility/Intermediate Care Facility.

PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER current practice location address is 505 N BRADNER AVE, MARION, IN. PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER can be reached out via phone at 765-662-3981 and via fax at 765-662-3981 .

You can also correspond with PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER through mail at mailing address 505 N BRADNER AVE, MARION, IN, United States. Mailing address contact number is 765-662-3981.

The enumeration date of PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER is 01-Jul-2005. The provider is registered as an Organization and the NPI record was last updated 2 years ago.

The authorized official of PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER is Eric Walts (CEO). Eric Walts can be reached at 7656623981.

1124025457 NPI Information

Basic NPI information of PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER (NPI 1124025457) is provided below.

Name PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER
National Provider Id (NPI) 1124025457
Entity Type Organization
Practice Address 505 N BRADNER AVE,
MARION, IN, United States
Practice Telephone 765-662-3981
Practice Fax Number 765-662-3981
Mailing Address 505 N BRADNER AVE ,
MARION, IN, United States
Mailing Telephone 765-662-3981
Mailing Fax Number 765-662-3981
Enumeration Date 01-Jul-2005
Last Updated Date 22-Aug-2020

PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER (NPI 1124025457) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 313M00000X Nursing Facility/Intermediate Care Facility 05-000089-2 IN

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
100287760A MEDICAID (05) IN
15-5173 MEDICARE OSCAR/Certification (06) IN

PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER (NPI 1124025457) Office Location

Office location of PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1639219173 LORA N. MIMS Nurse Practitioner, Family 704 BLUEBERRY HILL RD,
PRATTVILLE, AL, United States
07-Feb-2007
1114060894 PERRY COUNTY HEALTH DEPT-MARION EPSDT CM Case Management PO BOX 119,
MARION, AL, United States
14-Feb-2007
1215070552 PERRY COUNTY HEALTH DEPT-UNIONTOWN EPSDT CM Case Management PO BOX 119,
MARION, AL, United States
15-Feb-2007
1750424149 PERRY COUNTY HEALTH DEPT-MARION ADULT IMMUN Public Health or Welfare PO BOX 119,
MARION, AL, United States
15-Feb-2007
1386787554 PERRY COUNTY HEALTH DEPT-UNIONTOWN ADULT IMMUN Public Health or Welfare PO BOX 119,
MARION, AL, United States
15-Feb-2007
1902949332 PERRY COUNTY HEALTH DEPT-MARION CHILD Case Management PO BOX 119,
MARION, AL, United States
15-Feb-2007
1457494882 PERRY COUNTY HEALTH DEPT-MARION FP CLINIC Public Health or Welfare PO BOX 119,
MARION, AL, United States
15-Feb-2007
1174666374 PERRY COUNTY HEALTH DEPT-UNIONTOWN FP CLINIC Public Health or Welfare PO BOX 119,
MARION, AL, United States
15-Feb-2007
1275676579 PERRY COUNTY HEALTH DEPT-MARION AIDS Case Management PO BOX 119,
MARION, AL, United States
15-Feb-2007
1952444275 PERRY COUNTY HEALTH DEPT-MARION EPSDT Public Health or Welfare PO BOX 119,
MARION, AL, United States
15-Feb-2007
1164565230 PERRY COUNTY HEALTH DEPT-UNIONTOWN EPSDT Public Health or Welfare PO BOX 119,
MARION, AL, United States
15-Feb-2007
1962545293 PERRY COUNTY HEALTH DEPT-MARION MAT Public Health or Welfare PO BOX 119,
MARION, AL, United States
15-Feb-2007
1205979382 PERRY COUNTY HEALTH DEPT-UNIONTOWN MAT Public Health or Welfare PO BOX 119,
MARION, AL, United States
15-Feb-2007
1497898563 PERRY COUNTY HEALTH DEPT OFFSITE EPSDT Public Health or Welfare RR 2,
MARION, AL, United States
15-Feb-2007
1770627523 PERRY COUNTY HEALTH DEPT-MARION FP CM Case Management PO BOX 119,
MARION, AL, United States
16-Feb-2007
1851435614 PERRY COUNTY HEALTH DEPT-UNIONTOWN FP CM Case Management PO BOX 119,
MARION, AL, United States
16-Feb-2007
1467596239 PERRY COUNTY HEALTH DEPT-MARION PREV HEALTH ED Public Health or Welfare PO BOX 119,
MARION, AL, United States
16-Feb-2007
1508900200 PERRY COUNTY HEALTH DEPT-UNIONTOWN PREV HEALTH ED Public Health or Welfare PO BOX 119,
MARION, AL, United States
16-Feb-2007
1518000660 PERRY COUNTY HEALTH DEPT-MARION MAT CM Case Management PO BOX 119,
MARION, AL, United States
15-Feb-2007
1083757173 PERRY COUNTY HEALTH DEPT-MARION PRI CARE Public Health or Welfare PO BOX 119,
MARION, AL, United States
15-Feb-2007

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1124025457?

1124025457 is the NPI number of PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER.

Where is PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER located?

PREMIER PROVIDERS INC DBA BRADNER VILLAGE HEALTH CARE CENTER is located at 505 N BRADNER AVE, MARION, IN.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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