Premise Health of Montana Medical PC
Organization Active NPI Multi-Specialty Clinic/Center · Missoula, MT
NPI 1629669031 · NPPES record last updated Feb 12, 2026
Key facts
- NPI
- 1629669031
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- PREMISE HEALTH OF MONTANA MEDICAL PC
- Practice address
- 1211 S Reserve St Ste 202
Missoula, MT 59801-3102 - Phone
- (406) 926-6722
- Fax
- (406) 926-6823
- NPI assigned
- Jan 28, 2021
- Organization subpart
- No
Authorized official
- Name
- Edward William Schwartz
- Title
- President
- Phone
- (844) 407-7557
Practitioners 4
-
Dawn Michelle Krysa, PA-C
-
Carlye Bolstad, PA-C
-
Debra L. Burleigh-Gilbert, APRN-C, FNP
-
Jonathan B Leizman, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2078179 | Premise Health of Montana Medical PC | Certificate of waiver | May 21, 2028 |
National Provider Directory
Locations
602 E Park Ave
Anaconda, MT 59711
Phone (406) 384-7630
1211 S Reserve St
Ste 202
Missoula, MT 59801
Phone (406) 327-4791
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
1211 S Reserve St Ste 202
Missoula, MT 59801-3102
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names
- Missoula Montana Health Center
Other providers in Missoula, MT
- Marcia B Prather
- James Pratt
- Jessica Danielle Pratt
- Emily Jane Pray
- Precision Chiropractic, P.C.
- Kathryn Presser
- Nicole Marie Pressman-Schneider
- Emily Rae Preston
- Christopher Ralph Price
- Jessica Price
All providers in Missoula, MT · Multi-Specialty Clinic/Center in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.