Provider Demographics
NPI:1871133454
Name:PREMIER URGENT CARE INC.
Entity type:Organization
Organization Name:PREMIER URGENT CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:STANMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-945-7617
Mailing Address - Street 1:5856 HIGHWAY 53 STE 200A
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-4305
Mailing Address - Country:US
Mailing Address - Phone:256-945-7617
Mailing Address - Fax:
Practice Address - Street 1:5856 HIGHWAY 53 STE 200A
Practice Address - Street 2:
Practice Address - City:HARVEST
Practice Address - State:AL
Practice Address - Zip Code:35749-4305
Practice Address - Country:US
Practice Address - Phone:256-945-7617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PT0002XAllopathic & Osteopathic PhysiciansEmergency MedicineMedical ToxicologyGroup - Multi-Specialty