Provider Demographics
NPI:1902100555
Name:INSIGHT PREMIER HEALTH
Entity Type:Organization
Organization Name:INSIGHT PREMIER HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE VERIFIER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:GLASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-883-0462
Mailing Address - Street 1:51 US ROUTE 1
Mailing Address - Street 2:SUITE O
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7158
Mailing Address - Country:US
Mailing Address - Phone:207-883-0462
Mailing Address - Fax:207-883-3813
Practice Address - Street 1:51 US ROUTE 1
Practice Address - Street 2:SUITE O
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7158
Practice Address - Country:US
Practice Address - Phone:207-883-0462
Practice Address - Fax:207-883-3813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile