Healthcare Provider Details

I. General information

NPI: 1821040890
Provider Name (Legal Business Name): PREMIER IMMEDIATE MEDICAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

278 EAGLEVIEW BLVD
EXTON PA
19341-1157
US

IV. Provider business mailing address

278 EAGLEVIEW BLVD
EXTON PA
19341-1157
US

V. Phone/Fax

Practice location:
  • Phone: 610-561-6400
  • Fax: 610-561-6401
Mailing address:
  • Phone: 610-561-6400
  • Fax: 610-561-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: EDWARD M SILVERMAN
Title or Position: PRESIDENT
Credential: D.O.
Phone: 610-247-0891