PREMIUM URGENT CARE, INC.


Address: 2021 Herndon Ave, Suite 101, Clovis, CA 93611-6101
Phone: 5597974315

PREMIUM URGENT CARE, INC. (NPI# 1952744070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952744070
Entity Type Organization
Organization Name PREMIUM URGENT CARE, INC.
Other Organization Name PREMIUM URGENT CARE
Practice Address 2021 Herndon Ave
Suite 101
Clovis
CA 93611-6101
Practice Telephone 5597974315
Practice Fax Number 5593218730
Mailing Telephone 5597974315
Mailing Fax Number 5593218730
Enumeration Date 2013-04-08
Last Update Date 2019-05-02
Authorized Official Name DR. ERICK J GREEN (OWNER)
Authorized Official Telephone 5597974315
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUESHIELD GRP PIN ZZZ83169Y 01

Other Provider/Organization Names

Other Name Type Code
Premium Urgent Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215455779 Premium Urgent Care, Inc. Clinic/Center 3000 Floral Ave, Selma, CA 93662-9414 2017-09-05
1073055323 Premium Urgent Care, Inc. Clinic/Center 1851 Lander Ave, Turlock, CA 95380-6240 2016-11-16
1821473935 Premium Urgent Care, Inc. Clinic/Center 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 2015-07-30
1851894745 Premium Urgent Care, Inc. Clinic/Center 7471 N Fresno St, Fresno, CA 93720-2457 2018-03-16
1104296888 Premium Urgent Care, Inc. Clinic/Center 1415 Badger Flat Rd, Suite A, Los Banos, CA 93635-8600 2015-10-07
1942696455 Premium Urgent Care, Inc. Clinic/Center 505 N Clovis Ave, Fresno, CA 93727-2617 2015-04-10
1033502141 Premium Urgent Care, Inc. Clinic/Center 1420 Shaw Ave, Ste. 105, Clovis, CA 93611-4072 2015-03-13

Office Location

Street Address 2021 HERNDON AVE
SUITE 101
City CLOVIS
State CA
Zip Code 93611-6101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588659049 James Lee Minton Family Medicine 2021 Herndon Ave, Ste. 101, Clovis, CA 93611-6101 2005-09-12
1851764492 Premium Urgent Care, Inc Clinic/Center 2021 Herndon Ave, Suite 101, Clovis, CA 93611-6101 2015-11-04
1619344348 Maricelle Lopez Gamad Nurse Practitioner 2021 Herndon Ave, Suite101, Clovis, CA 93611-6101 2015-08-28
1801272992 Premium Physical Therapy Inc Clinic/Center 2021 Herndon Ave, Ste. 102, Clovis, CA 93611-6101 2015-07-30
1619354248 Baz Allergy, Asthma & Sinus Center, Inc. Allergy & Immunology 2021 Herndon Ave, Suite 101, Clovis, CA 93611-6101 2015-05-04
1336441153 Sandra L Turnbull Nurse Practitioner 2021 Herndon Ave, Ste. 101, Clovis, CA 93611-6101 2010-11-30
1154521102 Anthony Michael Fraser Physician Assistant 2021 Herndon Ave, Ste. 101, Clovis, CA 93611-6101 2007-07-18
1669511028 Russell S Biggers Physical Therapist 2021 Herndon Ave, Ste. 102, Clovis, CA 93611-6101 2007-02-05
1417968173 Douglas P Kerr Emergency Medicine 2021 Herndon Ave, # 101, Clovis, CA 93611-6101 2006-08-10
1962444299 Carlos Cordoba Family Medicine 2021 Herndon Ave, Clovis, CA 93611-6101 2006-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033773122 Mao Thao Pharmacist 2133 Shaw Avenue, Clovis, CA 93611 2019-04-24
1326506098 Lauren Moriah Horsley Speech-Language Pathologist 650 W. Alluvial Ave., Clovis, CA 93611 2019-03-12
1780171223 Alamos Care Skilled Nursing Facility 2193 Alamos Ave, Clovis, CA 93611 2018-04-19
1346612215 Aimee Rasch Occupational Therapy Assistant 650 West Alluvial Avenue, Clovis, CA 93611 2015-10-30
1356778302 Jonathan Crosby Physician Assistant 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 2013-10-07
1093142697 Stacey Melissa Montes Nurse Practitioner 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 2013-09-27
1538594163 Carly Bren Lepp Physician Assistant 2006 Shaw Avenue, Clovis, CA 93611 2013-09-13
1811246150 Vishal Arya Pharmacist 2518 Austin Ave, Clovis, CA 93611 2012-08-31
1669757209 Kiran V Atwal Pharmacist 1815 Herndon Ave--walgreens, Clovis, CA 93611 2011-10-14
1952615957 Weight Away Nutritionist 1895 Herndon Ave, Suite 105, Clovis, CA 93611 2010-08-02
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154970382 A Plus Urgent Care PC Clinic/Center 1735 Villa Ave Ste 101, Clovis, CA 93612-2443 2019-09-10
1558652354 Dry Creek Urgent Care Clinic/Center 2151 Herndon Ave, 102, Clovis, CA 93611-6307 2011-04-27
1124241849 Clovis Urgent Care Medical Center Clinic/Center 2200 Clovis Ave, Clovis, CA 93612-3915 2007-04-11
1487647434 X Press Care LLP Clinic/Center 2021 W 21st St, Clovis, NM 88101-4086 2005-08-25
1497370118 A Plus Urgent Care, PC Clinic/Center 1735 Villa Ave Ste 101, Clovis, CA 93612-2443 2020-06-09
1578065264 X-press Care LLC Clinic/Center 2021 W 21st St, Clovis, NM 88101-4086 2018-03-08
1851764492 Premium Urgent Care, Inc Clinic/Center 2021 Herndon Ave, Suite 101, Clovis, CA 93611-6101 2015-11-04
1033502141 Premium Urgent Care, Inc. Clinic/Center 1420 Shaw Ave, Ste. 105, Clovis, CA 93611-4072 2015-03-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417556440 Cottage Clinical Network LLC Clinic/Center 7070 Hollister Ave Ste 103, Goleta, CA 93117-2895 2020-10-21
1780291047 Ultra Urgent Care Clinic/Center 2875 W 7th St, Los Angeles, CA 90005-3907 2020-09-30
1780291351 Care Now Urgentcare Clinic/Center 5236 Palm Ave, Whittier, CA 90601-2210 2020-09-28
1811503519 We Care Urgent Care LLC Clinic/Center 11177 Tampa Ave Unit A, Northridge, CA 91326-2254 2020-09-17
1114531035 Q & M Physician Assistant Corporation Clinic/Center 941 Kendall Dr Ste C, San Bernardino, CA 92407-4156 2020-09-08
1568070662 Atlas Urgent Care Corporation Clinic/Center 5531 Business Park S, Bakersfield, CA 93309-1668 2020-07-15
1952927378 Anaheim Urgent Care, Inc. Clinic/Center 28900 S. Western Ave, Ranchos Palos Verdes, CA 90275 2020-06-22
1932724507 Cottage Clinical Network, LLC Clinic/Center 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 2020-06-10
1124643911 Cottage Clinical Network, LLC Clinic/Center 3970 Broad St, San Luis Obispo, CA 93401-7097 2020-06-08
1861017659 Cottage Clinical Network, LLC Clinic/Center 777 E Foothill Blvd # 777a775b, San Luis Obispo, CA 93405-1617 2020-06-08
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Competitor

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City CLOVIS
Zip Code 93611

Improve Information

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Dataset Information

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.

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