Organization Active NPI

Premier Acute Care Services LLC

  • Urgent Care Clinic/Center
  • Ruther Glen, VA
National Provider Identifier
1174021752
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PREMIER ACUTE CARE SERVICES LLC
Practice address
17065 Merchants Dr
Ruther Glen, VA 22546-5805
Phone
(804) 220-6044
NPI assigned
Jan 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Walid HammadNPI 1710265210
Title
Owner
Phone
(571) 331-9288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

17065 Merchants Dr
Ruther Glen, VA 22546-5805

Mailing address

17065 Merchants Dr
Ruther Glen, VA 22546-5805
Phone (804) 220-6044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180904000187 VA Part B Supplier - Clinic/Group Practice 2668722216 Receives reassigned benefits from 8 practitioners
Practice locations: Ruther Glen, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2143481Premier Acute Care Services, LLC17065 Merchants Drive, Ruther Glen, VA 22546Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

11073 Colonel Armistead Dr
Ste 105
Ruther Glen, VA 22546
Phone (703) 622-9302

11073 Colonel Armistead Dr
Ruther Glen, VA 22546

17065 Merchants Dr
Ruther Glen, VA 22546
Phone (804) 220-6044

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1174021752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17065 MERCHANTS DR",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225465805",
            "telephone_number": "804-220-6044",
            "fax_number": "571-312-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17065 MERCHANTS DR",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225465805",
            "telephone_number": "804-220-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ACUTE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "HAMMAD",
        "authorized_official_first_name": "WALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-331-9288"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruther Glen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.