| Premise Health Of West Virginia Medical, Medical Corporation | |
|
4600 Houston Rd Bldg 1 Florence KY 41042-4820 | |
| (859) 283-3613 | |
| Not Available |
| Full Name | Premise Health Of West Virginia Medical, Medical Corporation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4600 Houston Rd Bldg 1, Florence, Kentucky |
| Authorized Official Name and Position | William Wright (LEGAL COUNSEL) |
| Authorized Official Contact | 6155775893 |
| 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 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of West Virginia Medical, Medical Corporation 4600 Houston Rd Bldg 1 Florence KY 41042-4820 Ph: (859) 283-3613 |
| NPI Number | 1730897836 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730897836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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