PREMIUM URGENT CARE, INC.
NPI 1386229896
Clinic/Center - Urgent Care in Clovis, CA
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 05D2253004
- CLIA Cert. Type: Other - URGENT CARE
- CLIA Exp. Date: 02-15-2028
About PREMIUM URGENT CARE, INC.
This page provides the complete NPI Profile along with additional information for Premium Urgent Care, Inc., a provider established in Clovis, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1386229896 assigned on March 2021. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Erick Joseph Green Md (Owner)
- NPI
- 1386229896 Verify this NPI
- Provider Name
- PREMIUM URGENT CARE, INC.
- Entity Type
- Organization
- Location Address
- 565 W SHAW AVE CLOVIS, CA 93612
- Location Phone
- (559) 797-4315
- Location Fax
- (559) 321-8730
- Mailing Address
- 2021 HERNDON AVE STE 101 CLOVIS, CA 93611
- Mailing Phone
- (559) 797-4315
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-16-2021
- Last Update Date
- 09-06-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2253004
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- February 16, 2026
- Certificate Expiration Date
- February 15, 2028
- Laboratory Director
- ERICK GREEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premium Urgent Care, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386229896, enumerated as an "organization" on March 16, 2021.
The provider is located at 565 W SHAW AVE CLOVIS, CA 93612 and the phone number is (559) 797-4315.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
