Premium Urgent Care

LBN: Premium Urgent Care, Inc.
Premium Urgent Care is an health care organization with primary practice located at 2021 Herndon Ave Suite 101, Clovis CA 93611-6101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Premium Urgent Care, Inc. can be contacted via phone (559) 797-4315, or through Green, Erick J via phone (559) 797-4315.

Contact Information

Primary practice address
2021 Herndon Ave Suite 101 Clovis CA 93611-6101
Phone: (559) 797-4315
Fax: (559) 321-8730
Website:
Map and Directions
Authorized official contact:
Name: Green, Erick J Doctor of Medicine (MD)
Phone: (559) 797-4315

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1952744070
LBN Legal business name Premium Urgent Care, Inc.
DBA Doing business as Premium Urgent Care
Authorized official Green, Erick J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2013
Last updated May 2nd, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952744070 NPPES
California Other ZZZ83169Y BLUESHIELD GRP PIN

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