Bass Pro Shops Dba Outfitters Health Center

LBN: Premise Health Of Missouri Medical P C
Bass Pro Shops Dba Outfitters Health Center is an health care organization with primary practice located at 2425 E Kearney St , Springfield MO 65803-4969. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Premise Health Of Missouri Medical P C can be contacted via phone (417) 612-8950, or through Leizman, Jonathan via phone (216) 479-9063.

Contact Information

Primary practice address
2425 E Kearney St Springfield MO 65803-4969
Phone: (417) 612-8950
Fax: (417) 612-8955
Website:
Map and Directions
Authorized official contact:
Name: Leizman, Jonathan
Phone: (216) 479-9063

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1396404299
LBN Legal business name Premise Health Of Missouri Medical P C
DBA Doing business as Bass Pro Shops Dba Outfitters Health Center
Authorized official Leizman, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2021
Last updated Oct 13th, 2022 - about 2 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.

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