| Premier Urgent Care Inc. | |
|
2246 Winchester Rd Ne Huntsville AL 35811-6800 | |
| (256) 929-4224 | |
| (888) 498-4821 |
| Full Name | Premier Urgent Care Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2246 Winchester Rd Ne, Huntsville, Alabama |
| Authorized Official Name and Position | Tesse T Green (OPERATIONS AND BILLING COORDINATOR) |
| Authorized Official Contact | 2568499197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Urgent Care Inc. 5856 Highway 53 Ste 200a Harvest AL 35749-4305 Ph: (256) 858-1398 | Premier Urgent Care Inc. 2246 Winchester Rd Ne Huntsville AL 35811-6800 Ph: (256) 929-4224 |
| NPI Number | 1821671041 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 12/08/2022 |
| Medicare PECOS PAC ID | 3971904491 |
|---|---|
| Medicare Enrollment ID | O20210622001335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821671041 | NPI | - | NPPES |
| 1356859391 | Other | AL | NPI |
| 1427549823 | Other | AL | NPI |
| 1437700606 | Other | AL | NPI |
| 1659890945 | Other | AL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Roger D Stanmore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295772986 PECOS PAC ID: 3173550266 Enrollment ID: I20050815000377 |
| Provider Name | Brittany Leigh Brakefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659890945 PECOS PAC ID: 0345597423 Enrollment ID: I20180719003860 |
| Provider Name | Tiffany L Forst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356859391 PECOS PAC ID: 4688922974 Enrollment ID: I20180802001614 |
| Provider Name | Amy Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437612298 PECOS PAC ID: 8628301579 Enrollment ID: I20190606003005 |
| Provider Name | Eunjoung K Bordenski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427549823 PECOS PAC ID: 1850724576 Enrollment ID: I20191210001722 |
| Provider Name | Jessica Genovy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437700606 PECOS PAC ID: 5193150084 Enrollment ID: I20200123000953 |
| Provider Name | Amber Renea Cothren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821665696 PECOS PAC ID: 8224433610 Enrollment ID: I20210824000442 |
Bptcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Longwood Dr, Sw, Huntsville, AL 35801 Phone: 256-534-5946 Fax: 256-534-3041 | |
Inspirational Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Market St Ste 100, Huntsville, AL 35808 Phone: 256-210-4925 | |
Gleneagles Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 Gleneagles Dr Sw, Huntsville, AL 35801 Phone: 256-881-5880 Fax: 256-883-3280 | |
Magnolia Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4245 Balmoral Dr Sw Ste 102, Huntsville, AL 35801 Phone: 256-203-6676 Fax: 833-979-0980 | |
Five Points Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Pratt Ave Ne, Huntsville, AL 35801 Phone: 256-714-3363 | |
Davis Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7850 Memorial Pkwy Sw, Huntsville, AL 35802 Phone: 256-882-0132 Fax: 256-882-1461 | |
Crestani Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2745 Bob Wallace Ave Sw, Suite D, Huntsville, AL 35805 Phone: 256-534-1323 Fax: 256-534-1780 |