OrganizationActive
Premier Healthcare Services
NPI 1407390800 · Preferred Provider Organization · Milwaukee, WI
Provider details
- NPI number
- 1407390800
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Parent organization
- Premier Financial Management Services, LLC
- Organization subpart
- Yes
- Authorized official
- Kimberly Rux, Division Director85520245810
- License
- 17440000Z (WI)
Specialties & taxonomies
Managed Care Organizations
Practice location
10425 W North Ave
Suite 345
Milwaukee, WI 53226-2416
Phone: (855) 224-5810
Approximate (ZIP-level) locationGet directions
Mailing address
10425 W North Ave
Milwaukee, WI 53226-2416
Registry dates
- Enumerated
- 2016-12-05
- Last updated
- 2016-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.