PREMISE HEALTH OF KENTUCKY MEDICAL, P.S.C.
NPI 1588447627
Clinic/Center - Multi-Specialty in Hopkinsville, KY

Active since August 14, 2023CLIA 18D2047319 · Waiver
1600 N MAIN ST, HOPKINSVILLE, KY 42240(270) 707-1679 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premise Health Of Kentucky Medical, P.s.c. NPPES

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

PREMISE HEALTH OF KENTUCKY MEDICAL, P.S.C. (NPI 1588447627), doing business as Altria Medical Services, is a healthcare organization registered as a multi-specialty in Hopkinsville, Kentucky and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Will Wright, Legal Counsel, as its authorized official.

NPPES Registry Identity

NPI1588447627
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF KENTUCKY MEDICAL, P.S.C.
Location Address1600 N MAIN STHopkinsville, KY 42240-2724
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Organization SubpartNo
Authorized OfficialWill WrightLegal Counsel · (615) 577-5893
Enumeration DateAugust 14, 2023
NPPES CertifiedAugust 14, 2023
NPI 1588447627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1600 N MAIN ST, Hopkinsville, KY 42240

Other Names 1

Doing Business AsAltria Medical Services

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 18D2047319

Premise Health Of Kentucky Medical, Psc · Hopkinsville, KY
Active · expires Sep 20, 2026
CLIA Number18D2047319
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorMr. Kevin Kresge
Laboratory Phone(270) 707-1679
Laboratory LocationPremise Health Of Kentucky Medical, Psc1600 North Main Street, Hopkinsville, KY 42240
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.

General Practice
1600 N MAIN ST
HOPKINSVILLE, KY 42240

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 Kentucky Medical, P.S.C.'s NPI number?

The NPI number for Premise Health Of Kentucky Medical, P.S.C. is 1588447627. It was assigned to this organization in the NPPES registry on August 14, 2023. The provider is doing business as Altria Medical Services.

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

Premise Health Of Kentucky Medical, P.S.C. is located at 1600 N Main St, Hopkinsville, KY 42240. The listed phone number is (270) 707-1679.

What is Premise Health Of Kentucky Medical, P.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 Kentucky Medical, P.S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2047319) is associated with this NPI, valid through September 20, 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 Kentucky Medical, P.S.C. was last updated on August 14, 2023. 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.