| Premise Health Of West Virginia Medical, Medical Corporation | |
|
3110 Airpark Dr Owensboro KY 42301-7706 | |
| (270) 685-3098 | |
| (270) 685-3099 |
| Full Name | Premise Health Of West Virginia Medical, Medical Corporation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3110 Airpark Dr, Owensboro, Kentucky |
| Authorized Official Name and Position | Jonathan B 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 Brentwood TN 37027-7048 Ph: () - | Premise Health Of West Virginia Medical, Medical Corporation 3110 Airpark Dr Owensboro KY 42301-7706 Ph: (270) 685-3098 |
| NPI Number | 1013681345 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013681345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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