PREMISE HEALTH OF WEST VIRGINIA MEDICAL MEDICAL CORPORATION
NPI 1093185373
Clinic/Center - Multi-Specialty in Morgantown, WV
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 51D2120483
- CLIA Cert. Type: Other - ONSITE EMPLOYEE HLTH CLIN
- CLIA Exp. Date: 10-17-2026
About PREMISE HEALTH OF WEST VIRGINIA MEDICAL MEDICAL CORPORATION
This page provides the complete NPI Profile along with additional information for Premise Health Of West Virginia Medical Medical Corporation, a provider established in Morgantown, West Virginia operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1093185373 assigned on September 2015. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Edward William Schwartz (President)
- NPI
- 1093185373 Verify this NPI
- Provider Name
- PREMISE HEALTH OF WEST VIRGINIA MEDICAL MEDICAL CORPORATION
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 781 CHESTNUT RIDGE RD MORGANTOWN, WV 26505
- Location Phone
- (304) 554-5298
- Location Fax
- (304) 598-5445
- Mailing Address
- 5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-30-2015
- Last Update Date
- 02-02-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D2120483
- Facility Type
- Other - ONSITE EMPLOYEE HLTH CLIN
- Certificate Effective Date
- October 18, 2024
- Certificate Expiration Date
- October 17, 2026
- Laboratory Director
- REBECCA TAYLOR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premise Health Of West Virginia Medical Medical Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
MORGANTOWN, WV 26505
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093185373, enumerated as an "organization" on September 30, 2015.
The provider is located at 781 CHESTNUT RIDGE RD MORGANTOWN, WV 26505 and the phone number is (304) 554-5298.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
