Organization · Type 2 NPI
Premise Health of West Virginia Medical Medical Corporation
Multi-Specialty Clinic/Center · Charleston, WV
NPI number
1124792296
Active
Practice location
601 Morris St Ste 203
Charleston, WV 25301-1416
Fax (678) 903-0962
Mailing address
5500 Maryland Way
Brentwood, TN 37027-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1124792296
Premise Health of West Virginia Medical Medical Corporation's National Provider Identifier is 1124792296, issued on Aug 3, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Charleston, WV. The record was last updated on Feb 2, 2026.