| Premise Health Of West Virginia Medical Medical Corporation | |
|
1001 Cherry Blossom Way Georgetown KY 40324-9564 | |
| (502) 868-2894 | |
| (502) 868-4446 |
| Full Name | Premise Health Of West Virginia Medical Medical Corporation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1001 Cherry Blossom Way, Georgetown, Kentucky |
| Authorized Official Name and Position | Edward William Schwartz (PRESIDENT) |
| Authorized Official Contact | 8444077557 |
| 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 1001 Cherry Blossom Way Georgetown KY 40324-9564 Ph: (502) 868-2894 |
| NPI Number | 1376820423 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 02/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376820423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
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