Organization
PREMIUM URGENT CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK JOSEPH GREEN MD (OWNER)
(504) 236-1486
Entity
Organization
Contact information
Practice address
565 W SHAW AVE, CLOVIS, CA 93612-3229
(559) 797-4315
(559) 321-8730
Mailing address
2021 HERNDON AVE STE 101, CLOVIS, CA 93611-6316
(559) 797-4315
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
09/06/2023
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