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
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
343800000X
Secured Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250007335
—
NV
Enumeration date
12/23/2019
Last updated
08/20/2024
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