| Premier Urgent Care Clinic | |
|
6036 Trier Rd Fort Wayne IN 46815-5337 | |
| (260) 414-8285 | |
| Not Available |
| Full Name | Premier Urgent Care Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 6036 Trier Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Aiman Hassan (PRESIDENT) |
| Authorized Official Contact | 2604148285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Urgent Care Clinic 6036 Trier Rd Fort Wayne IN 46815-5337 Ph: (260) 414-8285 | Premier Urgent Care Clinic 6036 Trier Rd Fort Wayne IN 46815-5337 Ph: (260) 414-8285 |
| NPI Number | 1790021376 |
|---|---|
| Provider Enumeration Date | 12/31/2012 |
| Last Update Date | 12/31/2012 |
| Medicare PECOS PAC ID | 2860638384 |
|---|---|
| Medicare Enrollment ID | O20130429000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790021376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Aiman Amin Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588683122 PECOS PAC ID: 1951350107 Enrollment ID: I20101130001062 |
| Provider Name | Christina Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467700542 PECOS PAC ID: 7214282748 Enrollment ID: I20180625000359 |
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