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ALTRIA HEALTH CENTER
NPI 1407108509
General Practice in Chester, VA

Active since October 12, 2012CLIA 49D1055054 · Waiver
4100 BERMUDA HUNDRED RD, CHESTER, VA 23836(804) 751-1922 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Altria Health Center NPPES

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

ALTRIA HEALTH CENTER (NPI 1407108509) is a healthcare organization registered as a general practice in Chester, Virginia and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1407108509
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePREMISE HEALTH OF VIRGINIA MEDICAL, P.C
Location Address4100 BERMUDA HUNDRED RDChester, VA 23836-3245
Mailing Address5500 Maryland Way, Ste 400Brentwood, TN 37027-4948
Phone(804) 751-1922
Organization SubpartYesParent: Chs Health Services, Llc
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateOctober 12, 2012
Last NPPES UpdateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
✔ NPI 1407108509 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
4100 BERMUDA HUNDRED RD, Chester, VA 23836
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Other Names 1

Doing Business AsAltria Health Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 49D1055054

Premise Health Of Virginia Medical PC · Chester, VA
Active · expires Jun 6, 2028
CLIA Number49D1055054
Laboratory TypeOccupational Primary Care
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorBeth L. Blankenship
Laboratory Phone(804) 751-1922
Laboratory LocationPremise Health Of Virginia Medical PC4100 Bermuda Hundred Road, Chester, VA 23836
CLIA data matches this NPI record on: Address Name Phone
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 Virginia Medical, P.C's NPI number?

The NPI number for Premise Health Of Virginia Medical, P.C is 1407108509. It was assigned to this organization in the NPPES registry on October 12, 2012. The provider is doing business as Altria Health Center.

Where is Premise Health Of Virginia Medical, P.C located?

Premise Health Of Virginia Medical, P.C is located at 4100 Bermuda Hundred Rd, Chester, VA 23836. The listed phone number is (804) 751-1922.

What is Premise Health Of Virginia Medical, P.C's specialty?

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

Does Premise Health Of Virginia Medical, P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1055054) is associated with this NPI, valid through June 6, 2028. 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 Virginia Medical, P.C was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.