PRIMERA HEALTH AND WELLNESS COMPANY


Address: 130 7th Ave, Suite 312, New York, NY 10011-1803
Phone: 6789047564

PRIMERA HEALTH AND WELLNESS COMPANY (NPI# 1407381072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407381072
Entity Type Organization
Organization Name PRIMERA HEALTH AND WELLNESS COMPANY
Practice Address 130 7th Ave
Suite 312
New York
NY 10011-1803
Mailing Address 20430 N 19th Ave
Phoenix
AZ 85027-3588
Practice Telephone 6789047564
Enumeration Date 2017-04-20
Last Update Date 2017-04-20
Authorized Official Name SHAILESH SUSHIL KOTHARI (OWNER)
Authorized Official Telephone 6789047564
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations Primera Health and Wellness Company 3060 Peachtree Road, Suite 965, Atlanta, GA 30305
Ohio Business Entities PRIMERA HEALTH AND WELLNESS COMPANY 3060 Peachtree Rd., Ste. 965, Atlanta, GA 30305
Alabama Business Registrations Primera Health and Wellness Company Corp. 3060 Peachtree Road Ste 965, Atlanta, GA 30305

Office Location

Street Address 130 7TH AVE
SUITE 312
City NEW YORK
State NY
Zip Code 10011-1803

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10011

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Dataset Information

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.

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