Organization · Type 2 NPI

Premise Health of Virginia Medical PC

Primary Care Clinic/Center · Glen Allen, VA

NPI number 1184903296 Active

Practice location

4881 Cox Rd Bldg 1
Glen Allen, VA 23060-6293

Call (804) 968-2400 Map

Fax (804) 968-2401

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	None listed

Primary Care Clinic/Center: Definition to come...

Another provider at this address

Walgreen CoPharmacy Glen Allen, VA NPI 1083996888

Other primary care clinic/center providers in Glen Allen

See all in Glen Allen →

NPI record

NPI: 1184903296
Entity type: Organization (Type 2)
Issued: Aug 6, 2011
Last updated: Feb 3, 2026
Status: Active

Other names

<unavail>
Be Well Health Center -Knolls · doing business as
Be Well Health Center -Knolls · doing business as

Authorized official

Edward William Schwartz
President
(844) 407-7557

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184903296

Premise Health of Virginia Medical PC's National Provider Identifier is 1184903296, issued on Aug 6, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Glen Allen, VA. The record was last updated on Feb 3, 2026.