Healthcare Provider Details

I. General information

NPI: 1053235341
Provider Name (Legal Business Name): PRIME URGENT CARE PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4822 PRESTON HWY
LOUISVILLE KY
40213-2226
US

IV. Provider business mailing address

PO BOX 123
EASTWOOD KY
40018-0123
US

V. Phone/Fax

Practice location:
  • Phone: 502-494-1024
  • Fax: 502-587-0390
Mailing address:
  • Phone: 502-494-1024
  • Fax: 502-587-0390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AKASHA HAQ
Title or Position: OWNER
Credential:
Phone: 502-494-1024