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PREMISE HEALTH OF WISCONSIN MEDICAL, S.C.
NPI 1003591223
Clinic/Center - Multi-Specialty in La Crosse, WI

Active since June 15, 2023CLIA 52D2068162 · Waiver
2835 DARLING CT STE 101, LA CROSSE, WI 54601(608) 781-4460(608) 781-5587 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Jan 28, 2026, Jun 15, 2023 (3 updates tracked since 2023).

About Premise Health Of Wisconsin Medical, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMISE HEALTH OF WISCONSIN MEDICAL, S.C. (NPI 1003591223), doing business as Kwik Trip Center For Health At La Crosse, is a healthcare organization registered as a multi-specialty in La Crosse, Wisconsin and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1003591223
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF WISCONSIN MEDICAL, S.C.
Location Address2835 DARLING CT STE 101La Crosse, WI 54601-2755
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(608) 781-4460
Fax(608) 781-5587
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 877-7557
Enumeration DateJune 15, 2023
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1003591223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2835 DARLING CT STE 101, La Crosse, WI 54601
Open in Google Maps ↗

Other Names 1

Doing Business AsKwik Trip Center For Health At La Crosse

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2068162

Premise Health Of Wisconsin Medical, Sc · La Crosse, WI
Active · expires Oct 28, 2027
CLIA Number52D2068162
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorDr. Erik Gundersen
Laboratory Phone(608) 781-5848
Laboratory LocationPremise Health Of Wisconsin Medical, Sc2835 Darling Court Suite 101, La Crosse, WI 54601
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of Wisconsin Medical, S.C.'s NPI number?

The NPI number for Premise Health Of Wisconsin Medical, S.C. is 1003591223. It was assigned to this organization in the NPPES registry on June 15, 2023. The provider is doing business as Kwik Trip Center for Health at La Crosse.

Where is Premise Health Of Wisconsin Medical, S.C. located?

Premise Health Of Wisconsin Medical, S.C. is located at 2835 Darling Ct Ste 101, La Crosse, WI 54601. The listed phone number is (608) 781-4460.

What is Premise Health Of Wisconsin Medical, S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Wisconsin Medical, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2068162) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Wisconsin Medical, S.C. was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.