Primrose Place Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030605 Issued in MO

Legal business name

PRIMROSE PLACE INC

Practice address

1115 E Primrose St
Springfield, MO 65807-5146

Phone

(417) 269-9010

Fax

(417) 269-9966

NPI assigned

Nov 21, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ron Prenger

Title

Vice President

Phone

(417) 269-9010

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1457334880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075146",
            "telephone_number": "417-269-9010",
            "fax_number": "417-269-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075146",
            "telephone_number": "417-269-9010",
            "fax_number": "417-269-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMROSE PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "PRENGER",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "417-269-9010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "030605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106915705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan C Price, ARNP
• Laurel Alaine Prichard, D.D.S.
• Maribeth E Primm, MS, LPC
• Primrose Nephrology, Inc.
• Primrose OBGYN, P.C.
• Katie Primrose, LAT
• Andrea Elena Prince, PHARMD
• Angela Dean Pringle, APRN FNP-C
• Jennifer Marie Probstfield, ATC
• Bobby Dewain Procell, O.T.

• Skilled Nursing Facility in Springfield, MO
• Providers in Springfield, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.