Organization · Type 2 NPI
Premise Health of Virginia Medical, P.c
Health Service Clinic/Center · Winchester, VA
NPI number
1053748905
Active
Practice location
190 Security Dr
Winchester, VA 22602-4672
Fax (540) 722-1404
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
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About NPI 1053748905
Premise Health of Virginia Medical, P.c's National Provider Identifier is 1053748905, issued on Oct 8, 2013. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Winchester, VA. The record was last updated on Jan 29, 2026.