| Organization Name: | PRIMA HEALTHCARE LLC |
| NPI Number: | 1245602234 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRAN GELTCH (CREDENTIALING) |
| Mailing Address: | 107 Royal Birkdale Dr Ste A Columbiana |
| State: | OH US |
| Postal Code: | 444088493 |
| Phone Number: | 3304829350 |
| Fax Number: | 3304825695 |
| NPI Enumeration Date: | 10/29/2015 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA17737NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |