PREMISE HEALTH OF MISSOURI MEDICAL PC
NPI 1396404299
Clinic/Center - Multi-Specialty in Springfield, MO
About Premise Health Of Missouri Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMISE HEALTH OF MISSOURI MEDICAL PC (NPI 1396404299), doing business as Bass Pro Shops Dba Outfitters Health Center, is a healthcare organization registered as a multi-specialty in Springfield, Missouri and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through September 27, 2026 and lists Edward William Schwartz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 26D2269563
Premise Health Of Missouri Medical, PC · Springfield, MOFrequently 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 Missouri Medical PC's NPI number?
The NPI number for Premise Health Of Missouri Medical PC is 1396404299. It was assigned to this organization in the NPPES registry on December 8, 2021. The provider is doing business as Bass Pro Shops dba Outfitters Health Center.
Where is Premise Health Of Missouri Medical PC located?
Premise Health Of Missouri Medical PC is located at 2425 E Kearney St, Springfield, MO 65803. The listed phone number is (417) 612-8950.
What is Premise Health Of Missouri Medical PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Premise Health Of Missouri Medical PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2269563) is associated with this NPI, valid through September 27, 2026. 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 Missouri Medical PC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Premise Health Of Missouri Medical Pc · NPI 1396404299
Multi-Specialty organization in Springfield, Missouri. Organization record, active in the CMS NPPES registry since December 8, 2021.
## Identity
- **NPI:** 1396404299 (Entity type: Organization)
- **Enumerated:** December 8, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Bass Pro Shops dba Outfitters Health Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Edward Schwartz, PRESIDENT
## Practice location
- **Address:** 2425 E KEARNEY ST, Springfield, MO 65803-4969
- **Phone:** (417) 612-8950 · **Fax:** (417) 612-8955
## Record status
- **NPPES last updated:** February 4, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396404299) · Data from the CMS NPPES public registry.