PREMIER HEALTHCARE SERVICES INC (NPI# 1588876379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588876379 |
| Entity Type | Organization |
| Organization Name | PREMIER HEALTHCARE SERVICES INC |
| Practice Address |
1892 Turnpike Rd Raeford NC 28376 |
| Mailing Address |
401 E 11th St Lumberton NC 28358-4807 |
| Practice Telephone | 9107330617 |
| Mailing Telephone | 9107330617 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FRED SURGEON (DIRECTOR) |
| Authorized Official Telephone | 9107330617 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| X | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| X | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548472434 | Premier Healthcare Services Inc | Community Based Residential Treatment Facility, Mental Illness | 1892 Turnpike Road, Raeford, NC 28376 | 2007-05-04 |
| 1720066129 | Premier Healthcare Services Inc | Skilled Nursing Facility | 1355 Clayton Rd, San Jose, CA 95127-4307 | 2006-01-05 |
| 1407063118 | Premier Healthcare Services Inc | Community/Behavioral Health | 1892 Turnpike Rd, Raeford, NC 28376 | 2007-05-16 |
| 1881806602 | Premier Healthcare Services Inc | Psychiatry & Neurology | 1892 Turnpike Rd, Raeford, NC 28376-8520 | 2007-05-04 |
| Street Address |
1892 TURNPIKE RD |
| City | RAEFORD |
| State | NC |
| Zip Code | 28376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801119201 | Surgeon & Associates, Inc. | Psychiatry & Neurology | 1892 Turnpike Rd, Raeford, NC 28376-8520 | 2010-03-12 |
| 1629391818 | Premier Healthcare Services, Inc. | Counselor | 1892 Turnpike Rd, Raeford, NC 28376-8520 | 2010-03-02 |
| 1093040081 | Premier Healthcare Services, Inc. | Psychiatric Residential Treatment Facility | 1892 Turnpike Rd, Raeford, NC 28376-8520 | 2009-10-08 |
| 1821321365 | April D Parker | Psychiatry & Neurology | 1892 Turnpike Rd, Raeford, NC 28376-8520 | 2009-09-16 |
| 1407063118 | Premier Healthcare Services Inc | Community/Behavioral Health | 1892 Turnpike Rd, Raeford, NC 28376 | 2007-05-16 |
| 1881806602 | Premier Healthcare Services Inc | Psychiatry & Neurology | 1892 Turnpike Rd, Raeford, NC 28376-8520 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185104 | Elite Supply Services, Inc. | Durable Medical Equipment & Medical Supplies | 2148 Bus-us 401, Raeford, NC 28376 | 2020-05-18 |
| 1205485695 | Brenda P Gregorio | Technician | 297 Gregorios Ln, Raeford, NC 28376 | 2019-09-09 |
| 1083197115 | Jennifer Picerno Bowyer | Nurse Practitioner | 929 Prospect Ave., Raeford, NC 28376 | 2018-09-14 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1508398991 | Rockfish Pharmacy Inc | Pharmacy | 221 Flagstone Lane, Raeford, NC 28376 | 2017-04-03 |
| 1205281235 | William Fiebig | Nurse Practitioner | Hoke Hospital, 210 Medical Pavilion Drive, Raeford, NC 28376 | 2016-04-27 |
| 1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
| 1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
| 1649658287 | Divine Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 320 Birch St, Raeford, NC 28376 | 2015-05-15 |
| 1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
| Find all providers in zip 28376 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335136 | Across Milestones Support Services, LLC | Counselor | 512 Harris Ave, Raeford, NC 28376-3114 | 2018-08-13 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1174983829 | Eva Jones | Counselor | 2295 N Horace Walters Rd, Raeford, NC 28376-7587 | 2016-02-23 |
| 1851596605 | Jewel Vanessa Mcneill | Counselor | 403 E Central Ave, Raeford, NC 28376-2911 | 2007-06-20 |
| 1316010234 | Edward Eugene Bessant | Counselor | 4989 Rockfish Rd, Raeford, NC 28376-8355 | 2006-11-16 |
| 1609886076 | George Henry Elliott | Counselor | 132 W Elwood Ave, Raeford, NC 28376-2802 | 2006-08-09 |
| 1114538345 | Clear Cut Counseling LLC | Counselor | 284 Northwoods Dr, Raeford, NC 28376-7986 | 2020-08-11 |
| 1760014211 | Elizabeth Ann Watson | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2020-02-12 |
| 1386299006 | Joy Journey Professional Counseling & Life Coach,pllc | Counselor | 2295 N Horace Walters Rd, Raeford, NC 28376-7587 | 2019-08-08 |
| 1861994196 | Brittany Kay Bridges | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2018-03-02 |
| Find all providers in RAEFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.