PREMISE HEALTH OF MISSOURI MEDICAL P C NPI 1508462136

NPI Information

NPI: 1508462136
Provider Name: PREMISE HEALTH OF MISSOURI MEDICAL P C

Doing Business As: BOEHRINGER INGELHEIM ST. JOSEPH MO OCCUPATIONAL HEALTH SERVICES

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 26D2199203

Address:
3902 GENE FIELD RD
SAINT JOSEPH, MO
ZIP 64506
Phone: (816) 676-5723
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PREMISE HEALTH OF MISSOURI MEDICAL P C is an occupational medicine clinic center in Saint Joseph, MO. PREMISE HEALTH OF MISSOURI MEDICAL P C NPI is 1508462136. The provider is registered as an organization entity type.
The provider Is Doing Business As Boehringer Ingelheim St. Joseph Mo Occupational Health Services.

The provider's business location address is:

3902 GENE FIELD RD
SAINT JOSEPH, MO
ZIP 64506-876
Phone: (816) 676-5723
Fax: (816) 390-0591

The provider's authorized official is Jonathan Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 26D2199203 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2020 and was last updated on 10/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0100X	Clinic/Center	Occupational Medicine			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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