PRESTON URGENT CARE INC NPI 1780115998

NPI Information

NPI: 1780115998
Provider Name: PRESTON URGENT CARE, INC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 18D2220222

Address:
4822 PRESTON HWY
LOUISVILLE, KY
ZIP 40213
Phone: (502) 969-2227
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PRESTON URGENT CARE, INC is an urgent care clinic center in Louisville, KY. PRESTON URGENT CARE, INC NPI is 1780115998. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4822 PRESTON HWY
LOUISVILLE, KY
ZIP 40213-226
Phone: (502) 969-2227
Fax: (502) 587-0390

The provider's authorized official is Misha Haq .
The authorized official title is Md and has the following contact phone number (502) 969-2227.

The CLIA number assigned to this NPI record is 18D2220222 - other - urgent care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2017 and was last updated on 11/21/2019.

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
1	207R00000X	Internal Medicine		33462	KENTUCKY	No
2	208000000X	Pediatrics		32576	KENTUCKY	No
3	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	32576	OTHER	KENTUCKY	MEDICAL LICENSE #
2	33462	OTHER	KENTUCKY	MEDICAL LICENSE #

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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