Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PREMISE HEALTH OF PENNSYLVANIA MEDICAL PC
NPI 1245530914
General Practice in Malvern, PA

Active since October 28, 2010CLIA Certified · 2 labs
31 MOREHALL RD, MALVERN, PA 19355(610) 669-9355(610) 669-3373 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Aug 15, 2022, Jan 14, 2020 and 1 more (4 updates tracked since 2016).

About Premise Health Of Pennsylvania Medical Pc NPPES

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

PREMISE HEALTH OF PENNSYLVANIA MEDICAL PC (NPI 1245530914), doing business as Crew Care Center, is a healthcare organization registered as a general practice in Malvern, Pennsylvania and active in the NPI registry since October 2010. The organization holds 2 active CLIA laboratory certificates and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1245530914
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePREMISE HEALTH OF PENNSYLVANIA MEDICAL PC
Location Address31 MOREHALL RDMalvern, PA 19355-1759
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(610) 669-3373
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateOctober 28, 2010
Last NPPES UpdateJuly 2, 20264 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
NPI 1245530914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
31 MOREHALL RD, Malvern, PA 19355

Other Names 2

Doing Business AsCrew Care Center
Doing Business AsVanguard Majestic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 39D2070340

Premise Health Of PA Medical, PC · Malvern, PA
Active · expires Dec 12, 2027
CLIA Number39D2070340
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorDr. Mario J. Del Valle
Laboratory Phone(610) 669-9355
Laboratory LocationPremise Health Of PA Medical, PC3222 Phoenixville Road, Vanguard Crewcare Orion Mailstop Pn14, Malvern, PA 19355
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2022022

Premise Health Of PA Medical, PC · Malvern, PA
Active · expires Mar 24, 2027
CLIA Number39D2022022
Laboratory TypeIndustrial
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorDr. Mario J. Del Valle
Laboratory Phone(610) 669-9355
Laboratory LocationPremise Health Of PA Medical, PC700 Admiral Nelson Dr, Malvern, PA 19355
CLIA data matches this NPI record on: 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.

General Practice
31 MOREHALL RD
MALVERN, PA 19355

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 Pennsylvania Medical PC's NPI number?

The NPI number for Premise Health Of Pennsylvania Medical PC is 1245530914. It was assigned to this organization in the NPPES registry on October 28, 2010. The provider is doing business as Crew Care Center and Vanguard Majestic.

Where is Premise Health Of Pennsylvania Medical PC located?

Premise Health Of Pennsylvania Medical PC is located at 31 Morehall Rd, Malvern, PA 19355. The listed phone number is (610) 669-9355.

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

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Premise Health Of Pennsylvania Medical PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Premise Health Of Pennsylvania Medical PC 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 Pennsylvania Medical PC 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 Pennsylvania Medical PC was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.