PREMISE HEALTH OF OKLAHOMA MEDICAL PC
NPI 1093379331
Clinic/Center - Primary Care in Ardmore, OK
About Premise Health Of Oklahoma Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMISE HEALTH OF OKLAHOMA MEDICAL PC (NPI 1093379331), doing business as Dot Ardmore Family Health Center, is a healthcare organization registered as a primary care in Ardmore, Oklahoma and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Edward William Schwartz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 37D2166002
Premise Health Of Oklahoma Medical, PC · Ardmore, OKFrequently 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 Oklahoma Medical PC's NPI number?
The NPI number for Premise Health Of Oklahoma Medical PC is 1093379331. It was assigned to this organization in the NPPES registry on April 23, 2019. The provider is doing business as Dot Ardmore Family Health Center.
Where is Premise Health Of Oklahoma Medical PC located?
Premise Health Of Oklahoma Medical PC is located at 404 S Commerce St, Ardmore, OK 73401. The listed phone number is (580) 490-9414.
What is Premise Health Of Oklahoma Medical PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Premise Health Of Oklahoma Medical PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2166002) is associated with this NPI, valid through May 8, 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 Oklahoma Medical PC was last updated on February 2, 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.
# Premise Health Of Oklahoma Medical Pc · NPI 1093379331
Primary Care organization in Ardmore, Oklahoma. Organization record, active in the CMS NPPES registry since April 23, 2019.
## Identity
- **NPI:** 1093379331 (Entity type: Organization)
- **Enumerated:** April 23, 2019
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Dot Ardmore Family Health Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Edward Schwartz, PRESIDENT
## Practice location
- **Address:** 404 S COMMERCE ST, Ardmore, OK 73401-5010
- **Phone:** (580) 490-9414 · **Fax:** (580) 490-9067
## Record status
- **NPPES last updated:** February 2, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093379331) · Data from the CMS NPPES public registry.