PREMIUM URGENT CARE INC. NPI 1386229896

NPI Information

  • NPI: 1386229896
  • Provider Name: PREMIUM URGENT CARE, INC.
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 05D2253004
  • Address: 565 W SHAW AVE
    CLOVIS, CA
    ZIP 93612
  • Phone: (559) 797-4315

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NPI Details

PREMIUM URGENT CARE, INC. is an urgent care clinic center in Clovis, CA. PREMIUM URGENT CARE, INC. NPI is 1386229896. The provider is registered as an organization entity type.

The provider's business location address is:

565 W SHAW AVE
CLOVIS, CA
ZIP 93612-229
Phone: (559) 797-4315
Fax: (559) 321-8730

The provider's authorized official is Erick Joseph Green .
The authorized official title is Owner and has the following contact phone number (504) 236-1486.

The CLIA number assigned to this NPI record is 05D2253004 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2021 and was last updated on 9/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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