Organization · Type 2 NPI
Premise Health of Missouri Medical PC
Multi-Specialty Clinic/Center · Springfield, MO
NPI number
1396404299
Active
Practice location
2425 E Kearney St
Springfield, MO 65803-4969
Fax (417) 612-8955
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1396404299
Premise Health of Missouri Medical PC's National Provider Identifier is 1396404299, issued on Dec 8, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Springfield, MO. The record was last updated on Feb 4, 2026.