Organization · Type 2 NPI
Premise Health of West Virginia Medical, Medical Corporation
Multi-Specialty Clinic/Center · South Charleston, WV
NPI number
1750055828
Active
Practice location
18 River Walk Mall
South Charleston, WV 25303-1026
Fax (681) 205-8546
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
Other multi-specialty clinic/center providers in South Charleston
About NPI 1750055828
Premise Health of West Virginia Medical, Medical Corporation's National Provider Identifier is 1750055828, issued on Aug 3, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in South Charleston, WV. The record was last updated on Mar 4, 2026.