Premier Medical Specialists, Llc
LBN: Premier Medical Specialists, Llc
Premier Medical Specialists, Llc is an health care organization with primary practice located at 2345 Dougherty Ferry Rd , Saint Louis MO 63122-3313. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Premier Medical Specialists, Llc can be contacted via phone (314) 821-5850, or through Jensen, Joe via phone (314) 821-5850.
Contact Information
Primary practice address
2345 Dougherty Ferry Rd
Saint Louis MO 63122-3313
Phone: (314) 821-5850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X |
Profile Details
| NPI number | 1558542506 |
|---|---|
| LBN Legal business name | Premier Medical Specialists, Llc |
| DBA Doing business as | |
| Authorized official | Jensen, Joe |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 19th, 2007 |
| Last updated | Jun 17th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558542506 | NPPES |
| Missouri | Other | DO9596 | RR MEDICARE |
| Missouri | MEDICAID | 1558542506 | RR MEDICARE |
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