Basic Information
| Provider Information | |||||||||
| NPI: | 1871989046 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PREMIER HEALTHCARE CONSULTANTS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19117 TOWERING TIMBER CT | ||||||||
| Address2: | |||||||||
| City: | WILDWOOD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 630692974 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6363271000 | ||||||||
| FaxNumber: | 6363334522 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 MEDICAL DR | ||||||||
| Address2: | |||||||||
| City: | WENTZVILLE | ||||||||
| State: | MO | ||||||||
| PostalCode: | 633853421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6363271000 | ||||||||
| FaxNumber: | 6363334522 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2015 | ||||||||
| LastUpdateDate: | 04/14/2015 | ||||||||
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| AuthorizedOfficialLastName: | PEPPER | ||||||||
| AuthorizedOfficialFirstName: | STEVEN | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3144779700 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 108206 | MO | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.