PREMISE HEALTH OF WISCONSIN MEDICAL S C
NPI 1235890435
Clinic/Center - Multi-Specialty in Oshkosh, WI

Q: What is Premise Health Of Wisconsin Medical S C's specialty?

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

Active since January 10, 2022CLIA 52D2089531 · Waiver

292 OHIO ST, OSHKOSH, WI 54902(920) 267-5332(855) 253-3142 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2026, Oct 13, 2022, Jan 10, 2022 (3 updates tracked since 2022).

On this page

About Premise Health Of Wisconsin Medical S C NPPES

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

PREMISE HEALTH OF WISCONSIN MEDICAL S C (NPI 1235890435), doing business as Three Waves Health Clinic And Wellness Center, is a healthcare organization registered as a multi-specialty in Oshkosh, Wisconsin and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1235890435

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF WISCONSIN MEDICAL S C

Location Address292 OHIO STOshkosh, WI 54902-5825

Mailing Address5500 Maryland WayBrentwood, TN 37027-7048

Phone(920) 267-5332

Fax(855) 253-3142

Organization SubpartNo

Authorized OfficialEdward William SchwartzPresident · (844) 407-7557

Enumeration DateJanuary 10, 2022

Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1235890435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code261QM1300X

292 OHIO ST, Oshkosh, WI 54902

Open in Google Maps ↗

Other Names 1

Doing Business AsThree Waves Health Clinic And Wellness Center

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 52D2089531

Premise Health Of Wisconisn Medical, Sc · Oshkosh, WI

Active · expires Jan 4, 2027

CLIA Number52D2089531

Laboratory TypePhysician Office

Certificate Effective DateJanuary 5, 2025

Certificate Expiration DateJanuary 4, 2027

Laboratory DirectorDr. Meena Vir

Laboratory Phone(920) 267-5332

Laboratory LocationPremise Health Of Wisconisn Medical, Sc292 Ohio St, Oshkosh, WI 54902

CLIA data matches this NPI record on: Address 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.

INTERRA HEALTH INC.

Clinic/Center (Primary Care)

292 OHIO ST
OSHKOSH, WI 54902

Winnebago County (920) 267-5332

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 Wisconsin Medical S C's NPI number?

The NPI number for Premise Health Of Wisconsin Medical S C is 1235890435. It was assigned to this organization in the NPPES registry on January 10, 2022. The provider is doing business as Three Waves Health Clinic and Wellness Center.

Where is Premise Health Of Wisconsin Medical S C located?

Premise Health Of Wisconsin Medical S C is located at 292 Ohio St, Oshkosh, WI 54902. The listed phone number is (920) 267-5332.

What is Premise Health Of Wisconsin Medical S C's specialty?

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

Does Premise Health Of Wisconsin Medical S C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2089531) is associated with this NPI, valid through January 4, 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 Wisconsin Medical S C 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.