Prevention Health Network, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREVENTION HEALTH NETWORK, LLC

Practice address

215 S Walnut St
Cameron, MO 64429-2265

Phone

(816) 632-2695

NPI assigned

Nov 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Eric Schroeder

Title

Owner

Phone

(816) 589-5501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1649508128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S WALNUT ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292265",
            "telephone_number": "816-632-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S WALNUT ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292265",
            "telephone_number": "816-632-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION HEALTH NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-589-5501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ortega, NP-C
• Nicole Elaine Owen, PTA
• Michelle E Petersen, RN, CS, FNP
• Jonathan Poplin, LCSW
• Jennifer Lynn Prado, PTA
• R P McGraw DDS LLC
• Jacob Randal Rash, MD
• Rem Missouri, LLC
• Marjorie Marie Rhoads, D.C. RN
• Lindsay J Rice, MD

• Clinical Medical Laboratory in Cameron, MO
• Providers in Cameron, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.