Active NPI
Premier ER Plus - Temple, LLC
- Emergency Care Clinic/Center
- Temple, TX
National Provider Identifier
1265880751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- PREMIER ER PLUS - TEMPLE, LLC
- Practice address
- 7010 W. Adams Ave.
Suite 100
Temple, TX 76502 - Phone
- (254) 224-8808
- Fax
- (254) 224-6590
- NPI assigned
- May 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Brenda Pool Davis, RN
- Title
- Chief Operating Officer
- Phone
- (254) 224-8808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
Primary practice location
7010 W. Adams Ave.
Suite 100
Temple, TX 76502
Mailing address
900 Austin Ave
Waco, TX 76701-1902
Phone (254) 224-8808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 670195
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PREMIER ER
- Certification status
- Terminated Voluntary: merger or closure, May 11, 2023
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Apr 30, 2020
- Last certification
- Apr 30, 2020
- Beds
- 1
- Ownership / control type
- Private (not for profit)
- Facility address
- 7010 W Adams Ave, Suite 10
Temple, TX 76502
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Waco, TX
- NPI 1093165318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464134400000",
"number": "1265880751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 AUSTIN AVE",
"city": "WACO",
"state": "TX",
"postal_code": "767011902",
"telephone_number": "254-224-8808",
"fax_number": "254-224-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7010 W. ADAMS AVE.",
"address_2": "SUITE 100",
"city": "TEMPLE",
"state": "TX",
"postal_code": "76502",
"telephone_number": "254-224-8808",
"fax_number": "254-224-6590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER ER PLUS - TEMPLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-25",
"last_updated": "2016-05-25",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "POOL",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "254-224-8808",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.