Premier ER Plus, San Marcos, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

PREMIER ER PLUS, SAN MARCOS, LLC

Practice address

1509 N Interstate 35
San Marcos, TX 78666-7220

Phone

(512) 648-6188

NPI assigned

Sep 10, 2018

Organization subpart

No

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

Authorized official

Name

Samantha Foss

Title

Director of Administration

Phone

(254) 224-8808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670180

Legal name

PREMIER ER

Certification status

Terminated Voluntary: merger or closure, Sep 1, 2020

Provider type (POS)

Hospital – Short-term

Participating since

Apr 29, 2020

Last certification

Apr 29, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

1509 N Interstate 35, Suite 100
San Marcos, TX 78666

Practitioners 1

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

• John Bryan Hamilton, MD

  • Emergency Medicine Physician
  • Waco, TX
  • NPI 1972515914
  NPD (past)

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1558844258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 AUSTIN AVE STE 1001",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767011949",
            "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": "1509 N INTERSTATE 35",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667220",
            "telephone_number": "512-648-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ER PLUS, SAN MARCOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "FOSS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "254-224-8808"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Thomas Porter Jr., MD
• Amie Potter
• Kristin Kay Powers, PHARM D
• Practical Health Management LLC (Clinica San Felipe San Marcos)
• Adam Matthew Pratt, O.D.
• Susan Diane Presley, PHARMD
• Cory Preuss, FNP-C
• Pamela Priest, PT
• Jasmine Prince, M.A., LPC-A
• Progenika, Inc

• Emergency Care Clinic/Center in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.

Verify at the official NPI Registry.