# PREMIER HEALTH CENTER, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548337942
- **Authorized official:** DR. MICHELLE MARIA DE LA TORRE DC (ADMINISTRATOR)
- **Authorized official phone:** (573) 468-6011

## Contact information

- **Practice address:** 102 PROGRESS PKWY, SULLIVAN, MO 63080-2359
- **Practice address phone:** (573) 468-6011
- **Practice address fax:** (573) 468-7868
- **Mailing address:** 102 PROGRESS PKWY, SULLIVAN, MO 63080-2359
- **Mailing address phone:** (573) 468-6011
- **Mailing address fax:** (573) 468-7868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 33207 | MO | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 09/11/2025
