Premier Medical Group Llc is a Secured Medical Transport (VAN) based in Las Vegas, NV. Premier Medical Group Llc practices in Las Vegas, NV. The NPI Number for Premier Medical Group Llc is 1447899448 and holds a License No. (Nevada).
The current practice location address for Premier Medical Group Llc is 4550 E Charleston Blvd, Las Vegas, NV and can be reached out via phone at 702-623-8810 and via fax at 702-926-8822.
Location: 4550 E Charleston Blvd, Las Vegas, NV, 89117-3058
Provider Profile Details
NPI Number
1447899448
Provider Name
Premier Medical Group Llc
Credential
Provider Entity Type
Organization
Address
4550 E Charleston Blvd, Las Vegas, NV, 89117-3058
Phone Number
702-623-8810
Fax Number
702-926-8822
Provider Enumeration Date
12/23/2019
Last Update Date
03/13/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250007335 | 05 | NV |
Provider Business Practice Location Address Details
Address
4550 E Charleston Blvd
City
State
Zip
89104-5525
Phone Number
702-623-8810
Fax Number
702-926-8822
Provider Business Mailing Address Details
Address
4550 E Charleston Blvd
City
State
Zip
89104-5525
Phone Number
702-623-8810
Fax Number
702-926-8822
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 8
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mobile
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 9
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 10
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Occupational Medicine
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 11
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Provider's Taxonomy Details 12
Type
Transportation Services
Classification
Secured Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
()
Definition
A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.
Badge
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