PREMIER ER PLUS - WACO, LLC (NPI# 1871942938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871942938 |
| Entity Type | Organization |
| Organization Name | PREMIER ER PLUS - WACO, LLC |
| Practice Address |
221 N Jack Kultgen Expy Suite 100 Waco TX 76706 |
| Mailing Address |
900 Austin Ave Waco TX 76701-1902 |
| Practice Telephone | 2542248808 |
| Practice Fax Number | 2542246590 |
| Mailing Telephone | 2542248808 |
| Mailing Fax Number | 2542246590 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |
| Authorized Official Name | MRS. BRENDA POOL DAVIS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2542248808 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Street Address |
221 N JACK KULTGEN EXPY SUITE 100 |
| City | WACO |
| State | TX |
| Zip Code | 76706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432632 | Jennifer Podrebarac | Counselor | 2010 Lasalle Ave, Ste B, Waco, TX 76706 | 2020-09-21 |
| 1629604186 | Lisa Grady | Counselor | 2010 Lasalle Ave, Suite A, Waco, TX 76706 | 2020-03-17 |
| 1699333096 | Magnolia Home Health LLC | Home Health | 635 N Robinson Dr Ste D, Robinson, TX 76706 | 2019-05-31 |
| 1669954863 | Lezlie Athey | Physical Therapy Assistant | 2997 Palomino Trail, Robinson, TX 76706 | 2018-09-04 |
| 1588144273 | David Allen Sulsh | Dentist | 421 N. Robinson Dr., Robinson, TX 76706 | 2018-08-21 |
| 1770970667 | Grant Louis Bargender | Specialist/Technologist | 1500 S. University Parks Dr, Baylor Athletic Training, Waco, TX 76706 | 2015-04-19 |
| 1376890533 | Focus Behavioral Associates, LLC | Behavioral Analyst | 635 N. Robinson Drive, Suite #k, Robinson, TX 76706 | 2012-08-07 |
| 1700113750 | Sheila A Luttrull | Nurse Practitioner | 1127 Ross Ave., Waco, TX 76706 | 2009-11-12 |
| 1386854065 | Social Work Connection | Case Management | 680 Apple Cross Court, Robinson, TX 76706 | 2007-05-23 |
| 1407928468 | John Cahak | Radiologic Technologist | 621 S Ruidoso Downs, Waco, TX 76706 | 2006-11-14 |
| Find all providers in zip 76706 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
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| 1841838901 | Cross Care of North Texas LLC | Clinic/Center | 2401 Willow Oak Dr, Irving, TX 75060-6965 | 2019-12-19 |
| 1255978722 | Medco Er Carrollton, LLC | Clinic/Center | 2745 E Belt Line Rd, Carrollton, TX 75006-5436 | 2019-12-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.