Provider Demographics
NPI:1063741999
Name:PREMIER URGENT AND FAMILY CARE
Entity type:Organization
Organization Name:PREMIER URGENT AND FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:205-655-4924
Mailing Address - Street 1:4643 CAMP COLEMAN RD
Mailing Address - Street 2:SUITE 117
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-2821
Mailing Address - Country:US
Mailing Address - Phone:205-655-4924
Mailing Address - Fax:
Practice Address - Street 1:4643 CAMP COLEMAN RD
Practice Address - Street 2:SUITE 117
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173
Practice Address - Country:US
Practice Address - Phone:205-655-4924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-24
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center