Organization · Type 2 NPI
Premier Medical Group, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Bloomington, IN
NPI number
1104649946
Active
Practice location
409 W 1st St
Bloomington, IN 47403-2403
Mailing address
2925 10th Ave N
Palm Springs, FL 33461-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1104649946
Premier Medical Group, LLC's National Provider Identifier is 1104649946, issued on Oct 31, 2024. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Bloomington, IN. The record was last updated on Dec 6, 2024.