PREMIUM URGENT CARE INC. NPI 1821473935

NPI Information

NPI: 1821473935
Provider Name: PREMIUM URGENT CARE, INC.
Classification: Clinic/Center - 261QU0200X
Specialization: Urgent Care
Entity Type: Organization
Doing Business As: PREMIUM URGENT CARE
CLIA Number: 05D2106361
Address: 6643 N. MILBURN AVE
SUITE 104
FRESNO, CA
ZIP 93722
Phone: (559) 797-4315

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NPI Details

PREMIUM URGENT CARE, INC. is an urgent care clinic center in Fresno, CA. PREMIUM URGENT CARE, INC. NPI is 1821473935. The provider is registered as an organization entity type.
The provider Is Doing Business As Premium Urgent Care.

The provider's business location address is:

6643 N. MILBURN AVE
SUITE 104
FRESNO, CA
ZIP 93722
Phone: (559) 797-4315
Fax: (559) 321-8730

The provider's authorized official is Erick J Green .
The authorized official title is Owner and has the following contact phone number (559) 797-4315.

The CLIA number assigned to this NPI record is 05D2106361 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 5/2/2019.

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	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	ZZZ83169Y	OTHER	CALIFORNIA	BLUE SHIELD GROUP PIN

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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