| Premise Health Of West Virginia Medical, Medical Corporation | |
|
4600 Houston Rd Florence KY 41042-4820 | |
| (859) 283-3613 | |
| (859) 283-3721 |
| Full Name | Premise Health Of West Virginia Medical, Medical Corporation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4600 Houston Rd, Florence, Kentucky |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of West Virginia Medical, Medical Corporation 5500 Maryland Way Ste 400 Brentwood TN 37027-7048 Ph: () - | Premise Health Of West Virginia Medical, Medical Corporation 4600 Houston Rd Florence KY 41042-4820 Ph: (859) 283-3613 |
| NPI Number | 1609369024 |
|---|---|
| Provider Enumeration Date | 06/11/2018 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609369024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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