| Premier Acute Care Services Llc | |
|
11073 Colonel Armistead Dr Ste 105 Ruther Glen VA 22546-3367 | |
| (804) 220-6044 | |
| Not Available |
| Full Name | Premier Acute Care Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11073 Colonel Armistead Dr Ste 105, Ruther Glen, Virginia |
| Authorized Official Name and Position | Katherine Obcemea Asinero (PRACTICE MANAGER) |
| Authorized Official Contact | 5712903614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Acute Care Services Llc 11073 Colonel Armistead Dr Ste 105 Ruther Glen VA 22546-3367 Ph: (804) 220-6044 | Premier Acute Care Services Llc 11073 Colonel Armistead Dr Ste 105 Ruther Glen VA 22546-3367 Ph: (804) 220-6044 |
| NPI Number | 1174021752 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 11/06/2024 |
| Medicare PECOS PAC ID | 2668722216 |
|---|---|
| Medicare Enrollment ID | O20180904000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174021752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Khaled Fathy Said |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902841539 PECOS PAC ID: 9537055538 Enrollment ID: I20040226000171 |
| Provider Name | Walid M Hammad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710265210 PECOS PAC ID: 3375713779 Enrollment ID: I20160309000585 |
| Provider Name | Sohaib S. Elsayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992955777 PECOS PAC ID: 0446493886 Enrollment ID: I20170327001573 |