PREMISE HEALTH OF OHIO MEDICAL PA
NPI 1447926845
Clinic/Center - Multi-Specialty in Fort Jennings, OH
About Premise Health Of Ohio Medical Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMISE HEALTH OF OHIO MEDICAL PA (NPI 1447926845), doing business as Midway - Fort Jennings, is a healthcare organization registered as a multi-specialty in Fort Jennings, Ohio and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Edward William Schwartz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 36D1090826
Premise Health Of Ohio Medical, PA · Ottoville, OHFrequently 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 Ohio Medical PA's NPI number?
The NPI number for Premise Health Of Ohio Medical PA is 1447926845. It was assigned to this organization in the NPPES registry on August 17, 2021. The provider is doing business as Midway - Fort Jennings.
Where is Premise Health Of Ohio Medical PA located?
Premise Health Of Ohio Medical PA is located at 200 Progressive Drive, Fort Jennings, OH 45844. The listed phone number is (419) 453-1111.
What is Premise Health Of Ohio Medical PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Premise Health Of Ohio Medical PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D1090826) is associated with this NPI, valid through October 19, 2026. 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 Ohio Medical PA was last updated on February 4, 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.
