Premier Medical Group Llc
LBN: Premier Medical Group Llc
Premier Medical Group Llc is an health care organization with primary practice located at 4550 E Charleston Blvd , Las Vegas NV 89104-5525. The organization recently has 12 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Pain, Ambulatory Health Care Facilities / Radiology, Mobile, Ambulatory Health Care Facilities / Urgent Care, Ambulatory Health Care Facilities / Occupational Medicine, Suppliers / Non-Pharmacy Dispensing Site, Transportation Services / Secured Medical Transport (VAN). Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Premier Medical Group Llc can be contacted via phone (702) 623-8810, or through Torres, Vanessa via phone (702) 963-6363.
Contact Information
Primary practice address
4550 E Charleston Blvd
Las Vegas NV 89104-5525
Phone: (702) 623-8810
Fax: (702) 926-8822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Pain | 261QP3300X | ||
| Ambulatory Health Care Facilities / Radiology, Mobile | 261QR0208X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X | ||
| Suppliers / Non-Pharmacy Dispensing Site | 332900000X | ||
| Transportation Services / Secured Medical Transport (VAN) | 343800000X |
Profile Details
| NPI number | 1447899448 |
|---|---|
| LBN Legal business name | Premier Medical Group Llc |
| DBA Doing business as | |
| Authorized official | Torres, Vanessa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 23rd, 2019 |
| Last updated | Nov 9th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447899448 | NPPES |
| Nevada | MEDICAID | 250007335 |
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