NPIMap

Organization Active NPI

Premier Express Care LLC

  • Urgent Care Clinic/Center
  • Ligonier, PA
National Provider Identifier
1861249708
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PREMIER EXPRESS CARE LLC
Practice address
216 Glessner Street
Ligonier, PA 15658
Phone
(724) 995-8012
Fax
(724) 995-8041
NPI assigned
Apr 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Ms. Shannon Colosimo
Title
Operations Manager
Phone
(814) 242-9719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

216 Glessner Street
Ligonier, PA 15658

Mailing address

171 Minor Rd
Summerhill, PA 15958-4000
Phone (814) 242-9719

Other practice location 1

401 W Main St
New Alexandria, PA 15670-3182
Phone (724) 875-5446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250731001197 PA Part B Supplier - Clinic/Group Practice 6406364637 Receives reassigned benefits from 12 practitioners
Practice locations: Ligonier, PA

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
39D2308283Premier Express Care, LLC401 W Main Street, New Alexandria, PA 15670Certificate of waiverJul 24, 2026

National Provider Directory

National Provider Directory

Member organizations 1

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

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1861249708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MINOR RD",
            "city": "SUMMERHILL",
            "state": "PA",
            "postal_code": "159584000",
            "telephone_number": "814-242-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 GLESSNER STREET",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "15658",
            "telephone_number": "724-995-8012",
            "fax_number": "724-995-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Main St",
            "address_purpose": "LOCATION",
            "city": "New Alexandria",
            "state": "PA",
            "postal_code": "156703182",
            "country_code": "US",
            "telephone_number": "724-875-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER EXPRESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "COLOSIMO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "814-242-9719",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ligonier, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.