# PREMIUM HEALTH CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477340578
- **Authorized official:** ERICK J GREEN MD (PRESIDENT)
- **Authorized official phone:** (559) 387-5230

## Contact information

- **Practice address:** 1415 BADGER FLAT RD, LOS BANOS, CA 93635-8600
- **Practice address phone:** (559) 387-5230
- **Practice address fax:** (559) 900-7952
- **Mailing address:** 2021 HERNDON AVE STE 201, CLOVIS, CA 93611-6317
- **Mailing address phone:** (559) 387-5230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2025
- **Last updated:** 04/22/2025