PREMISE HEALTH OF DELAWARE MEDICAL PA
NPI 1205236882
Clinic/Center in Selbyville, DE

Q: What is Premise Health Of Delaware Medical PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since September 02, 2014CLIA 08D2087452 · Waiver

85 HOSIER ST, SELBYVILLE, DE 19975(302) 524-1015(302) 436-6117 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2026, Aug 23, 2022, Feb 12, 2020 (3 updates tracked since 2020).

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About Premise Health Of Delaware Medical Pa NPPES

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

PREMISE HEALTH OF DELAWARE MEDICAL PA (NPI 1205236882), doing business as Mountaire Health And Wellness Center Selbyville, is a healthcare organization registered as a clinic/center in Selbyville, Delaware and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1205236882

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePREMISE HEALTH OF DELAWARE MEDICAL PA

Location Address85 HOSIER STSelbyville, DE 19975-9300

Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993

Phone(302) 524-1015

Fax(302) 436-6117

Organization SubpartNo

Authorized OfficialEdward William SchwartzPresident · (844) 407-7557

Enumeration DateSeptember 2, 2014

Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1205236882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

85 HOSIER ST, Selbyville, DE 19975

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Other Names 1

Doing Business AsMountaire Health And Wellness Center Selbyville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 08D2087452

Premise Health Of Delaware Medical, PA · Selbyville, DE

Active · expires Nov 24, 2026

CLIA Number08D2087452

Laboratory TypePhysician Office

Certificate Effective DateNovember 25, 2024

Certificate Expiration DateNovember 24, 2026

Laboratory DirectorAgyenim Amoako

Laboratory Phone(302) 200-5856

Laboratory LocationPremise Health Of Delaware Medical, PA85 Hosier Street, Selbyville, DE 19975

CLIA data matches this NPI record on: Address 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 Delaware Medical PA's NPI number?

The NPI number for Premise Health Of Delaware Medical PA is 1205236882. It was assigned to this organization in the NPPES registry on September 2, 2014. The provider is doing business as Mountaire Health and Wellness Center Selbyville.

Where is Premise Health Of Delaware Medical PA located?

Premise Health Of Delaware Medical PA is located at 85 Hosier St, Selbyville, DE 19975. The listed phone number is (302) 524-1015.

What is Premise Health Of Delaware Medical PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Premise Health Of Delaware Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D2087452) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premise Health Of Delaware Medical PA accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Premise Health Of Delaware Medical PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premise Health Of Delaware Medical PA was last updated on February 3, 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.