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Organization
PREMIER MEDICAL GROUP LLC
Active
Organization
PREMIER MEDICAL GROUP LLC
Active
Other names
Premier Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA TORRES (ADMINISTRATOR)
(702) 963-6363
Entity
Organization
Contact information
Practice address
1050 S RAINBOW BLVD STE 210, LAS VEGAS, NV 89145-6231
(702) 623-8810
(702) 926-8822
Mailing address
2555 MONTESSOURI ST STE A, LAS VEGAS, NV 89117-3058
(702) 963-6363
(702) 537-8900
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
NULL
163WG0000X
General Practice Registered Nurse
—
—
261Q00000X
Clinic/Center
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
261QR0208X
Mobile Radiology Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
332900000X
Non-Pharmacy Dispensing Site
—
NULL
343800000X
Secured Medical Transport (VAN)
—
NULL
Other
Enumeration date
12/23/2019
Last updated
08/20/2024
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