Organization · Type 2 NPI
Premise Health of West Virginia Medical Medical Corporation
Health Service Clinic/Center · Buffalo, WV
NPI number
1306178165
Active
Practice location
3707 Buffalo Rd
Buffalo, WV 25033-9436
Fax (304) 937-7080
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...
2 other providers at this address
About NPI 1306178165
Premise Health of West Virginia Medical Medical Corporation's National Provider Identifier is 1306178165, issued on Feb 4, 2010. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Buffalo, WV. The record was last updated on Feb 10, 2026.