Active NPI
Premise Health of Montana Medical PC
- Multi-Specialty Clinic/Center
- Anaconda, MT
National Provider Identifier
1093397978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PREMISE HEALTH OF MONTANA MEDICAL PC
- Practice address
- 602 E Park Ave
Anaconda, MT 59711-2469 - Phone
- (406) 384-7630
- Fax
- (406) 384-7374
- NPI assigned
- Apr 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward William Schwartz
- Title
- President
- Phone
- (844) 407-7557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
602 E Park Ave
Anaconda, MT 59711-2469
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names 1
- Montana Anaconda Health Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2161796 | Premise Health of Montana Medical PC | Certificate of waiver | Feb 10, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Missoula, MT
- NPI 1558413252
-
- Family Medicine Physician
- Greenville, NC
- NPI 1902099716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769990400000",
"number": "1093397978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MARYLAND WAY STE 120",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 E PARK AVE",
"city": "ANACONDA",
"state": "MT",
"postal_code": "597112469",
"telephone_number": "406-384-7630",
"fax_number": "406-384-7374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMISE HEALTH OF MONTANA MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-21",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "844-407-7557"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Montana Anaconda Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaconda, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.