Premiere Healthcare LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Doniphan, MO
NPI 1215258652 · NPPES record last updated Nov 5, 2010
Key facts
- NPI
- 1215258652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- PREMIERE HEALTHCARE LLC
- Practice address
- 513 N Grand Ave
Doniphan, MO 63935-1405 - Phone
- (573) 996-3784
- NPI assigned
- Jun 21, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Phillip Keith Wilkins Sr.
- Title
- Pharmacy Owner
- Phone
- (870) 931-9263
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Dialysis Equipment & Supplies (DME) | 332BD1200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
513 N Grand Ave
Doniphan, MO 63935-1405
Mailing address
513 N Grand Ave
Doniphan, MO 63935-1405
Phone (573) 996-3784
Other names
- Medical Center Pharmacy
Other providers in Doniphan, MO
- Osage Pharmacy LLC
- Osage Pharmacy, LLC
- Alagammai Ally Palaniappan
- Meyyappan Palaniappan
- Christopher R Pinderski
- Premiere Healthcare LLC
- Premiere Healthcare LLC
- Premiere Healthcare LLC
- Jacob Pridy
- Kevin Raposo
All providers in Doniphan, MO · Durable Medical Equipment & Medical Supplies in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.