PREMISE HEALTH OF MARYLAND MEDICAL P C
NPI 1063859551
Clinic/Center - Multi-Specialty in Hagerstown, MD

Active since May 24, 2013CLIA 21D2111253 · Waiver
13403 VOLVO WAY, MEDICAL SUITE, HAGERSTOWN, MD 21742(240) 500-3764(301) 790-2050 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2026, Apr 20, 2022, May 20, 2020 and 1 more (4 updates tracked since 2018).

About Premise Health Of Maryland Medical P C NPPES

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

PREMISE HEALTH OF MARYLAND MEDICAL P C (NPI 1063859551), doing business as Family First Medical Center And Pharmacy, is a healthcare organization registered as a multi-specialty in Hagerstown, Maryland and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through April 3, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1063859551
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF MARYLAND MEDICAL P C
Location Address13403 VOLVO WAY, MEDICAL SUITEHagerstown, MD 21742
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(301) 790-2050
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateMay 24, 2013
Last NPPES UpdateJanuary 29, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1063859551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
13403 VOLVO WAY, MEDICAL SUITE, Hagerstown, MD 21742

Other Names 1

Doing Business AsFamily First Medical Center And Pharmacy

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 21D2111253

Premise Health Of Maryland Medical, PC · Hagerstown, MD
Active · expires Apr 3, 2028
CLIA Number21D2111253
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorLeslie Blum
Laboratory Phone(240) 513-3590
Laboratory LocationPremise Health Of Maryland Medical, PC13302 Pennsylvania Avenue, Hagerstown, MD 21742
CLIA data matches this NPI record on: Name
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 Maryland Medical P C's NPI number?

The NPI number for Premise Health Of Maryland Medical P C is 1063859551. It was assigned to this organization in the NPPES registry on May 24, 2013. The provider is doing business as Family First Medical Center and Pharmacy.

Where is Premise Health Of Maryland Medical P C located?

Premise Health Of Maryland Medical P C is located at 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742. The listed phone number is (240) 500-3764.

What is Premise Health Of Maryland Medical P 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 Maryland Medical P C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2111253) is associated with this NPI, valid through April 3, 2028. 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 Maryland Medical P C was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.