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CITI HEALTH SERVICES
NPI 1558767244
Clinic/Center - Multi-Specialty in O Fallon, MO

Active since November 07, 2014
1000 TECHNOLOGY DR, O FALLON, MO 63368(636) 261-1600(636) 261-1601 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Citi Health Services NPPES

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

CITI HEALTH SERVICES (NPI 1558767244) is a healthcare organization registered as a multi-specialty in O Fallon, Missouri and active in the NPI registry since November 2014. The organization lists Jon Leizmman, President, as its authorized official.

NPPES Registry Identity

NPI1558767244
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF OHIO MEDICAL, P.A
Location Address1000 TECHNOLOGY DRO Fallon, MO 63368-2239
Mailing Address5500 Maryland WayBrentwood, TN 37027-4948 · (636) 261-1600 · Fax (636) 261-1601
Phone(636) 261-1600
Fax(636) 261-1601
Organization SubpartNo
Authorized OfficialJon LeizmmanPresident · (216) 479-9063
Enumeration DateNovember 7, 2014
Last NPPES UpdateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
✔ NPI 1558767244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1000 TECHNOLOGY DR, O Fallon, MO 63368
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Other Names 1

Doing Business AsCiti Health Services

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 26D2085912

Premise Health Of Missouri Medical, PC · O Fallon, MO
Expired · Oct 23, 2026
CLIA Number26D2085912
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorMike Engel
Laboratory Phone(636) 261-1600
Laboratory LocationPremise Health Of Missouri Medical, PC1000 Technology Drive, O Fallon, MO 63368
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMISE HEALTH OF MISSOURI MEDICAL PC
Clinic/Center (Multi-Specialty)
1000 TECHNOLOGY DR
O FALLON, MO 63368
St. Charles County (636) 261-1600

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 Ohio Medical, P.A's NPI number?

The NPI number for Premise Health Of Ohio Medical, P.A is 1558767244. It was assigned to this organization in the NPPES registry on November 7, 2014. The provider is doing business as Citi Health Services.

Where is Premise Health Of Ohio Medical, P.A located?

Premise Health Of Ohio Medical, P.A is located at 1000 Technology Dr, O Fallon, MO 63368. The listed phone number is (636) 261-1600.

What is Premise Health Of Ohio Medical, P.A's specialty?

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

When was this NPI record last updated?

The NPPES record for Premise Health Of Ohio Medical, P.A was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.