PREMIER MEDICAL GROUP LLC NPI 1447899448

NPI Information

NPI: 1447899448
Provider Name: PREMIER MEDICAL GROUP LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
4550 E CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89104
Phone: (702) 623-8810
Get Directions

PREMIER MEDICAL GROUP LLC is an urgent care clinic center in Las Vegas, NV. PREMIER MEDICAL GROUP LLC NPI is 1447899448. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4550 E CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89104-525
Phone: (702) 623-8810
Fax: (702) 926-8822

The provider's authorized official is Vanessa Torres .
The authorized official title is Administrator and has the following contact phone number (702) 963-6363.

The enumeration date for this NPI number is 12/23/2019 and was last updated on 11/9/2023.

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	Primary
1	163WG0000X	Registered Nurse	General Practice	No
2	261Q00000X	Clinic/Center		No
3	261QC1500X	Clinic/Center	Community Health	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
5	261QM1300X	Clinic/Center	Multi-Specialty	No
6	261QP2300X	Clinic/Center	Primary Care	No
7	261QP3300X	Clinic/Center	Pain	No
8	261QR0208X	Clinic/Center	Radiology, Mobile	No
9	261QX0100X	Clinic/Center	Occupational Medicine	No
10	332900000X	Non-Pharmacy Dispensing Site		No
11	343800000X	Secured Medical Transport (VAN)		No
12	261QU0200X	Clinic/Center	Urgent Care	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	250007335	MEDICAID	NEVADA

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: 4/28/2024

NPI Synchronization or Removal

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