| Organization Name: | PREMIER COMMUNITY HEALTHCARE GROUP INC |
| NPI Number: | 1316919491 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIM SCHUKNECHT (CEO) |
| Mailing Address: | 37944 Pasco Ave, Ste B Dade City |
| State: | FL US |
| Postal Code: | 33525 |
| Phone Number: | 3525182000 |
| Fax Number: | 3525675455 |
| NPI Enumeration Date: | 02/03/2006 |
| NPI Last Update Date: | 08/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |