Premier Healthcare of Placerville

Organization Pain Medicine Physician · NPI 1932345410

Premier Healthcare of Placerville provides Pain Medicine Physician services in Placerville, California. Licensed in California. Registered with an NPI since 2009.

Licensed in: CA
In the registry since: 2009
Specialties on file: 2

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Practice location Address checks out

1980 Broadway
Placerville, CA 95667-9001 Not confirmed with CMS for 12 years — call before visiting
Phone: (530) 622-3536
Fax: (530) 622-3538

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary)	Taxonomy 208VP0000X · Licence A55172 (CA)
Durable Medical Equipment & Medical Supplies	Taxonomy 332B00000X · Licence A55172 (CA)

Record details

NPI number	1932345410
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	John Mooney — Owner · (530) 622-3536
Other names	Premier Healthcare
NPI enumerated	January 5, 2009
Last updated in NPPES	April 28, 2014
Mailing address	1980 Broadway, Placerville, CA 95667-9001