PREMIERE ONLINE URGENT CARE

Ambulatory Fertility Facility

A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)

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Contact Information

PREMIERE ONLINE URGENT CARE

901 SUMMERS AVE
ORANGEBURG, SC 29115-4931

Phone: 470-483-2992
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Fertility Facility	261QA0006X

Indicates primary specialty

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NPI Profile & details for PREMIERE ONLINE URGENT CARE

NPI # 1932860418

LBN Legal business name PREMIERE ONLINE URGENT CARE

Authorized official SHAREKIA DASH - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/06/2022

Last updated 04/20/2022 - About 4 years ago

Identifiers

Medicaid

061920860

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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