PREMIER URGENT CARE AT KENNETT SQUARE, LLC (NPI# 1538667704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538667704 |
| Entity Type | Organization |
| Organization Name | PREMIER URGENT CARE AT KENNETT SQUARE, LLC |
| Practice Address |
10050 Roosevelt Blvd Ste 2 Philadelphia PA 19116-3965 |
| Practice Telephone | 2155522818 |
| Practice Fax Number | 4847135255 |
| Mailing Telephone | 2155522818 |
| Mailing Fax Number | 4847135255 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | LAURA O'GORMAN (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 2155522818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1027657760001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679084354 | Premier Urgent Care At Kennett Square, LLC | Clinic/Center | 2231 Bryn Mawr Avenue, Philadelphia, PA 19131-2399 | 2017-10-20 |
| 1326470675 | Premier Urgent Care At Kennett Square, LLC | Clinic/Center | 635 Conestoga Rd, Villanova, PA 19085-1302 | 2013-08-08 |
| 1013312750 | Premier Urgent Care At Kennett Square, LLC | Clinic/Center | 1745 S Easton Rd, Doylestown, PA 18901-2812 | 2014-10-23 |
| 1255655429 | Premier Urgent Care At Kennett Square, LLC | Family Medicine | 300 Old Forge Lane, Ste 302, Kennett Square, PA 19348 | 2010-03-17 |
| Street Address |
10050 ROOSEVELT BLVD STE 2 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19116-3965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366910812 | Tower Health Urgent Care, LLC | Clinic/Center | 10050 Roosevelt Blvd Ste 2, Philadelphia, PA 19116-3965 | 2018-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194334466 | Ambassador Home Care Services LLC | Homemaker | 118080 Bustleton Av, Suite 301, Philadelphia, PA 19116 | 2020-07-23 |
| 1669919445 | Lenore Pierce Bailey | Social Worker | 15100 Dahlia Drive, Philadelphia, PA 19116 | 2017-01-31 |
| 1477938991 | Jessica Gabriela Dashevsky | Counselor | 467 Parlin St, Philadelphia, PA 19116 | 2015-07-27 |
| 1174949697 | Absolute Therapy Care LLC | Physical Therapist | 10125 Verree Rd Ste 100, Philadelphia, PA 19116 | 2014-03-07 |
| 1790107936 | Philmont Homecare, LLC | Home Health | 14500 Bustleton Avenue, Suite 208, Philadelphia, PA 19116 | 2014-01-07 |
| 1417381609 | Able Ambulance Inc. | Ambulance | 1017 Haldeman Ave., Philadelphia, PA 19116 | 2013-08-25 |
| 1821356718 | Timur Kakhramanov | Nurse Practitioner | 301 W.byberry Rd, Unit F-6, Philadelphia, PA 19116 | 2012-04-27 |
| 1982975173 | Simon Perelshteyn | Internal Medicine | 10172 Verree Rd, Philadelphia, PA 19116 | 2012-01-19 |
| 1841574449 | Irene Feldman | Pharmacist | 10000 Busteloton Ave, Philadelphia, PA 19116 | 2011-10-03 |
| 1992095590 | Long Life Ambulance, LLC | Ambulance | 10065 Sandmeyer Lane, 103, Philadelphia, PA 19116 | 2011-04-15 |
| Find all providers in zip 19116 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154968709 | On Demand Urgent Care Group PC | Clinic/Center | 5828 Market St, Philadelphia, PA 19139-3152 | 2019-12-03 |
| 1205486891 | Mydoc Urgent Care Chinatown | Clinic/Center | 1008 Arch St Ste 102, Philadelphia, PA 19107-3002 | 2019-09-16 |
| 1114491594 | On Demand Urgent Care Group PC | Clinic/Center | 1500 Spring Garden St Ste R105, Philadelphia, PA 19130-4067 | 2019-01-18 |
| 1679084354 | Premier Urgent Care At Kennett Square, LLC | Clinic/Center | 2231 Bryn Mawr Avenue, Philadelphia, PA 19131-2399 | 2017-10-20 |
| 1811432776 | On Demand Urgent Care Group, PC | Clinic/Center | 1217 S Broad St, Philadelphia, PA 19147-4401 | 2017-01-03 |
| 1902341860 | On Demand Urgent Care Group, PC | Clinic/Center | 1420 Chestnut St, Philadelphia, PA 19102-2505 | 2017-01-03 |
| 1629525282 | Mydoc Urgent Care | Clinic/Center | 3717 Chestnut St, Suite 202, Philadelphia, PA 19104-3164 | 2016-09-01 |
| 1013361575 | Jefferson Acute Care Physicians, PC | Clinic/Center | 2021 Chestnut St, Philadelphia, PA 19103-3373 | 2016-04-20 |
| 1881083723 | On Demand Urgent Care Group PC | Clinic/Center | 3356 Aramingo Ave, Philadelphia, PA 19134-4506 | 2015-01-15 |
| 1316379779 | Epic Physicians L.L.C. | Clinic/Center | 8021 Frankford Ave, Philadelphia, PA 19136 | 2013-08-07 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19116 |
Please comment or provide details below to improve the information on PREMIER URGENT CARE AT KENNETT SQUARE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.