PREMISE HEALTH OF OHIO MEDICAL PC
NPI 1649943457
Clinic/Center - Multi-Specialty in Columbus Grove, OH

Active since July 28, 2021CLIA 36D1090824 · Waiver
200 SUGAR GROVE LN, COLUMBUS GROVE, OH 45830(419) 659-4150 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premise Health Of Ohio Medical Pc NPPES

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

PREMISE HEALTH OF OHIO MEDICAL PC (NPI 1649943457), doing business as Midway - Columbus Grove, is a healthcare organization registered as a multi-specialty in Columbus Grove, Ohio and active in the NPI registry since July 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

NPI1649943457
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF OHIO MEDICAL PC
Location Address200 SUGAR GROVE LNColumbus Grove, OH 45830-9627
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateJuly 28, 2021
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
NPI 1649943457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
200 SUGAR GROVE LN, Columbus Grove, OH 45830

Other Names 1

Doing Business AsMidway - Columbus Grove

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 36D1090824

Premise Health Of Ohio Medical, PA · Columbus Grove, OH
Active · expires Oct 19, 2026
CLIA Number36D1090824
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorRita Beckford
Laboratory Phone(419) 659-4150
Laboratory LocationPremise Health Of Ohio Medical, PA200 Sugar Grove Lane, Columbus Grove, OH 45830
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 Ohio Medical PC's NPI number?

The NPI number for Premise Health Of Ohio Medical PC is 1649943457. It was assigned to this organization in the NPPES registry on July 28, 2021. The provider is doing business as Midway - Columbus Grove.

Where is Premise Health Of Ohio Medical PC located?

Premise Health Of Ohio Medical PC is located at 200 Sugar Grove Ln, Columbus Grove, OH 45830. The listed phone number is (419) 659-4150.

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

Yes. A Certificate of Waiver (number 36D1090824) 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 PC was last updated on February 13, 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.