PREMISE HEALTH OF UTAH MEDICAL PC
NPI 1184397002
Clinic/Center - Multi-Specialty in Spanish Fork, UT

Active since July 27, 2021CLIA 46D2175077 · Waiver
135 W 300 S, SPANISH FORK, UT 84660(801) 508-6072 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2026, Aug 24, 2022, Jul 27, 2021 (3 updates tracked since 2021).

About Premise Health Of Utah Medical Pc NPPES

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

PREMISE HEALTH OF UTAH MEDICAL PC (NPI 1184397002), doing business as Nebo - Spanish Fork, is a healthcare organization registered as a multi-specialty in Spanish Fork, Utah and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1184397002
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF UTAH MEDICAL PC
Location Address135 W 300 SSpanish Fork, UT 84660-2014
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateJuly 27, 2021
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1184397002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
135 W 300 S, Spanish Fork, UT 84660

Other Names 1

Doing Business AsNebo - Spanish Fork

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 46D2175077

Premise Health Of Utah Medical, PC · Spanish Fork, UT
Active · expires Nov 13, 2027
CLIA Number46D2175077
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorAbigail Webster
Laboratory Phone(801) 508-6072
Laboratory LocationPremise Health Of Utah Medical, PC135 West 300 South, Spanish Fork, UT 84660
CLIA data matches this NPI record on: Address Name Phone
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.

Nurse Practitioner (Primary Care)
135 W 300 S
SPANISH FORK, UT 84660

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 Utah Medical PC's NPI number?

The NPI number for Premise Health Of Utah Medical PC is 1184397002. It was assigned to this organization in the NPPES registry on July 27, 2021. The provider is doing business as NEBO - Spanish Fork.

Where is Premise Health Of Utah Medical PC located?

Premise Health Of Utah Medical PC is located at 135 W 300 S, Spanish Fork, UT 84660. The listed phone number is (801) 508-6072.

What is Premise Health Of Utah Medical PC's specialty?

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

Does Premise Health Of Utah Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2175077) is associated with this NPI, valid through November 13, 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 Utah Medical PC was last updated on February 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.