PREMISE HEALTH OF MISSOURI MEDICAL P.C. NPI 1588337430

NPI Information

NPI: 1588337430
Provider Name: PREMISE HEALTH OF MISSOURI MEDICAL, P.C.

Doing Business As: RAYTOWN SCHOOLS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
10301 E STATE ROUTE 350
RAYTOWN, MO
ZIP 64138
Phone: (816) 268-3001
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PREMISE HEALTH OF MISSOURI MEDICAL, P.C. is a multi-specialty clinic center in Raytown, MO. PREMISE HEALTH OF MISSOURI MEDICAL, P.C. NPI is 1588337430. The provider is registered as an organization entity type.
The provider Is Doing Business As Raytown Schools.

The provider's business location address is:

10301 E STATE ROUTE 350
RAYTOWN, MO
ZIP 64138-808
Phone: (816) 268-3001

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 26D2104152 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2021 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	261QM1300X	Clinic/Center	Multi-Specialty			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

NPI Synchronization or Removal

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