PREMISE HEALTH OF WEST VIRGINIA MEDICAL MEDICAL CORPORATION
NPI 1124792296
Clinic/Center - Multi-Specialty in Charleston, WV

Q: What is Premise Health Of West Virginia Medical Medical Corporation's specialty?

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

Active since August 03, 2021CLIA 51D2069846 · Waiver

601 MORRIS ST STE 203, CHARLESTON, WV 25301(304) 720-0221(678) 903-0962 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2026, Aug 15, 2022, Aug 3, 2021 (3 updates tracked since 2021).

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About Premise Health Of West Virginia Medical Medical Corporation NPPES

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

PREMISE HEALTH OF WEST VIRGINIA MEDICAL MEDICAL CORPORATION (NPI 1124792296), doing business as City Of Charleston, is a healthcare organization registered as a multi-specialty in Charleston, West Virginia and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1124792296

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF WEST VIRGINIA MEDICAL MEDICAL CORPORATION

Location Address601 MORRIS ST STE 203Charleston, WV 25301-1416

Mailing Address5500 Maryland WayBrentwood, TN 37027-7048

Phone(304) 720-0221

Fax(678) 903-0962

Organization SubpartNo

Authorized OfficialEdward William SchwartzPresident · (844) 407-7557

Enumeration DateAugust 3, 2021

Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2026

✔ NPI 1124792296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

601 MORRIS ST STE 203, Charleston, WV 25301

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Other Names 1

Doing Business AsCity Of Charleston

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 51D2069846

Premise Health Of Wv Medical, Medical Corporation · Charleston, WV

Active · expires Dec 3, 2027

CLIA Number51D2069846

Laboratory TypePhysician Office

Certificate Effective DateDecember 4, 2025

Certificate Expiration DateDecember 3, 2027

Laboratory DirectorJeff Wright

Laboratory Phone(304) 932-0107

Laboratory LocationPremise Health Of Wv Medical, Medical Corporation601 Morris Street Suite 203, Charleston, WV 25301

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION

Clinic/Center (Primary Care)

601 MORRIS ST STE 203
CHARLESTON, WV 25301

Kanawha County (681) 205-8538

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 West Virginia Medical Medical Corporation's NPI number?

The NPI number for Premise Health Of West Virginia Medical Medical Corporation is 1124792296. It was assigned to this organization in the NPPES registry on August 3, 2021. The provider is doing business as City of Charleston.

Where is Premise Health Of West Virginia Medical Medical Corporation located?

Premise Health Of West Virginia Medical Medical Corporation is located at 601 Morris St Ste 203, Charleston, WV 25301. The listed phone number is (304) 720-0221.

What is Premise Health Of West Virginia Medical Medical Corporation's specialty?

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

Does Premise Health Of West Virginia Medical Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2069846) is associated with this NPI, valid through December 3, 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 West Virginia Medical Medical Corporation was last updated on February 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.