OrganizationActive
Premiere Healthcare LLC
NPI 1770929366 · Durable Medical Equipment & Medical Supplies · Malden, MO
Provider details
- NPI number
- 1770929366
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Phillip Wilkins, Pharmacy Owner(573) 996-3784
Specialties & taxonomies
Suppliers
- Customized Equipment (DME)332BC3200X
Suppliers
- Dialysis Equipment & Supplies (DME)332BD1200X
Suppliers
Suppliers
- Oxygen Equipment & Supplies (DME)332BX2000X
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
214 W Main St
Malden, MO 63863-2114
Phone: (573) 996-3784
Street-level locationGet directions
Mailing address
Po Box 573
Doniphan, MO 63935-0573
Other names (DBA / former)
- Doing business as
- Malden Pharmacy & Home Medical Equipment
Registry dates
- Enumerated
- 2013-05-22
- Last updated
- 2013-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.