PREMISE HEALTH OF OKLAHOMA MEDICAL PC
NPI 1275360273
Clinic/Center - Multi-Specialty in Ardmore, OK

Q: What is Premise Health Of Oklahoma Medical PC's specialty?

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

Active since September 16, 2024CLIA 37D2163979 · Waiver

1 VALERO WAY, ARDMORE, OK 73401(580) 221-6690(580) 221-6695 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Premise Health Of Oklahoma Medical Pc NPPES

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

PREMISE HEALTH OF OKLAHOMA MEDICAL PC (NPI 1275360273), doing business as Valero Employee Wellness Center, is a healthcare organization registered as a multi-specialty in Ardmore, Oklahoma and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1275360273

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF OKLAHOMA MEDICAL PC

Location Address1 VALERO WAYArdmore, OK 73401-1615

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

Phone(580) 221-6690

Fax(580) 221-6695

Organization SubpartNo

Authorized OfficialEdward William SchwartzPresident · (844) 407-7557

Enumeration DateSeptember 16, 2024

Last NPPES UpdateFebruary 10, 2026

NPPES CertifiedFebruary 10, 2026

✔ NPI 1275360273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code261QM1300X

1 VALERO WAY, Ardmore, OK 73401

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Other Names 1

Doing Business AsValero Employee 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 37D2163979

Premise Health Of Oklahoma Medical, PC · Ardmore, OK

Active · expires Mar 24, 2027

CLIA Number37D2163979

Laboratory TypePhysician Office

Certificate Effective DateMarch 25, 2025

Certificate Expiration DateMarch 24, 2027

Laboratory DirectorRebecca Manevitz

Laboratory Phone(580) 221-6690

Laboratory LocationPremise Health Of Oklahoma Medical, PCOne Valero Way, Ardmore, OK 73401

CLIA data matches this NPI record on: 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.

REBECCA LEAH MANEVITZ MD

Internal Medicine

1 VALERO WAY
ARDMORE, OK 73401

Carter County (580) 221-6690

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 Oklahoma Medical PC's NPI number?

The NPI number for Premise Health Of Oklahoma Medical PC is 1275360273. It was assigned to this organization in the NPPES registry on September 16, 2024. The provider is doing business as Valero Employee Wellness Center.

Where is Premise Health Of Oklahoma Medical PC located?

Premise Health Of Oklahoma Medical PC is located at 1 Valero Way, Ardmore, OK 73401. The listed phone number is (580) 221-6690.

What is Premise Health Of Oklahoma 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 Oklahoma Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2163979) is associated with this NPI, valid through March 24, 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 Oklahoma Medical PC was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.