Premise Health of Iowa Medical P C

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMISE HEALTH OF IOWA MEDICAL P C

Practice address

2701 23Rd Ave
Council Bluffs, IA 51501-6958

Phone

(712) 396-3722

Fax

(712) 396-3997

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Addresses

Other names 1

• Caesars Health Center Council Bluffs Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Bae Cedar Rapids4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Premise Health of Iowa Medical P C

  • Multi-Specialty Clinic/Center
  • Cedar Rapids, IA
  • NPI 1003558057
  NPD tax ID
• Premise Health of Iowa Medical P C

  • Multi-Specialty Clinic/Center
  • Pella, IA
  • NPI 1053202713
  NPD tax ID
• Premise Health of Iowa Medical PC

  • Multi-Specialty Clinic/Center
  • Waverly, IA
  • NPI 1417622390
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon L Miller, APRN

  • Nurse Practitioner
  • Bellevue, NE
  • NPI 1578661799
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1285302984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 23RD AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515016958",
            "telephone_number": "712-396-3722",
            "fax_number": "712-396-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF IOWA MEDICAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "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": "Caesars Health Center Council Bluffs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pottawattamie County Targeted Medicaid Case Management
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• Charles Pribyl
• Edward N Prikaszczikow, DPM
• Jane Prine
• Priority Care LLC
• Joshua Probst

• Multi-Specialty Clinic/Center in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Multi-Specialty Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.