PREMISE HEALTH OF KANSAS MEDICAL PA
NPI 1093605966
Clinic/Center - Multi-Specialty in Independence, KS

Q: What is Premise Health Of Kansas Medical PA's NPI number?

The NPI number for Premise Health Of Kansas Medical PA is 1093605966. It was assigned to this organization in the NPPES registry on July 3, 2025. The provider is doing business as Health Services - Premise Health Clinic.

Q: What is Premise Health Of Kansas Medical PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since July 03, 2025CLIA 17D2150020 · Waiver

14115 RUSS MEYER BLVD, INDEPENDENCE, KS 67301(620) 332-0110(620) 332-0116 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 12, 2026, Jul 3, 2025 (2 updates tracked since 2025).

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About Premise Health Of Kansas Medical Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMISE HEALTH OF KANSAS MEDICAL PA (NPI 1093605966), doing business as Health Services - Premise Health Clinic, is a healthcare organization registered as a multi-specialty in Independence, Kansas and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through June 13, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1093605966

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF KANSAS MEDICAL PA

Location Address14115 RUSS MEYER BLVDIndependence, KS 67301-9000

Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993

Phone(620) 332-0110

Fax(620) 332-0116

Organization SubpartNo

Authorized OfficialEdward William SchwartzPresident · (844) 407-7557

Enumeration DateJuly 3, 2025

Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1093605966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

14115 RUSS MEYER BLVD, Independence, KS 67301

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Other Names 1

Doing Business AsHealth Services - Premise Health Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2150020

Premise Health Of Kansas Medical, PA · Independence, KS

Active · expires Jun 13, 2028

CLIA Number17D2150020

Laboratory TypePhysician Office

Certificate Effective DateJune 14, 2026

Certificate Expiration DateJune 13, 2028

Laboratory DirectorCraig Anderson

Laboratory Phone(620) 332-0110

Laboratory LocationPremise Health Of Kansas Medical, PA14115 Russ Meyer Blvd, Independence, KS 67301

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of Kansas Medical PA's NPI number?

The NPI number for Premise Health Of Kansas Medical PA is 1093605966. It was assigned to this organization in the NPPES registry on July 3, 2025. The provider is doing business as Health Services - Premise Health Clinic.

Where is Premise Health Of Kansas Medical PA located?

Premise Health Of Kansas Medical PA is located at 14115 Russ Meyer Blvd, Independence, KS 67301. The listed phone number is (620) 332-0110.

What is Premise Health Of Kansas Medical PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Kansas Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2150020) is associated with this NPI, valid through June 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Kansas Medical PA was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.