Provider Demographics
NPI:1578110979
Name:PRIORITY URGENT CARE
Entity Type:Organization
Organization Name:PRIORITY URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:LOEWEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:661-556-4777
Mailing Address - Street 1:1345 ALLEN RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-9748
Mailing Address - Country:US
Mailing Address - Phone:661-556-4777
Mailing Address - Fax:661-279-6775
Practice Address - Street 1:9900 STOCKDALE HWY STE 105
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3633
Practice Address - Country:US
Practice Address - Phone:661-556-4777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRIORITY URGENT CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-20
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center