Organization · Type 2 NPI
Premise Health of West Virginia Medical, Medical Corporation
Multi-Specialty Clinic/Center · Berea, KY
NPI number
1710652326
Active
Practice location
2200 Menelaus Rd
Berea, KY 40403-9748
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...
2 other providers at this address
About NPI 1710652326
Premise Health of West Virginia Medical, Medical Corporation's National Provider Identifier is 1710652326, issued on Aug 16, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Berea, KY. The record was last updated on Feb 17, 2026.