CITY OF CHARLESTON HEALTH AND WELLNESS CENTER
NPI 1932794112
Clinic/Center - Primary Care in Charleston, WV
About City Of Charleston Health And Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CITY OF CHARLESTON HEALTH AND WELLNESS CENTER (NPI 1932794112) is a healthcare organization registered as a primary care in Charleston, West Virginia and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Jonathan B Leizman, 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 51D2069846
Premise Health Of Wv Medical, Medical Corporation · Charleston, WVOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, WV 25301
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 West Virginia Medical, Medical Corporation's NPI number?
The NPI number for Premise Health Of West Virginia Medical, Medical Corporation is 1932794112. It was assigned to this organization in the NPPES registry on March 9, 2021. The provider is doing business as City Of Charleston Health And Wellness Center.
Where is Premise Health Of West Virginia Medical, Medical Corporation located?
Premise Health Of West Virginia Medical, Medical Corporation is located at 601 Morris St Ste 203, Charleston, WV 25301. The listed phone number is (681) 205-8538.
What is Premise Health Of West Virginia Medical, Medical Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Premise Health Of West Virginia Medical, Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 51D2069846) is associated with this NPI, valid through December 3, 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 West Virginia Medical, Medical Corporation 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 4 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.
# City Of Charleston Health And Wellness Center · NPI 1932794112
Primary Care organization in Charleston, West Virginia. Organization record, active in the CMS NPPES registry since March 9, 2021.
## Identity
- **NPI:** 1932794112 (Entity type: Organization)
- **Enumerated:** March 9, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Premise Health Of West Virginia Medical, Medical Corporation
- **Organization subpart:** No
- **Authorized official:** Jonathan Leizman, PRESIDENT
## Practice location
- **Address:** 601 MORRIS ST STE 203, Charleston, WV 25301-1416
- **Phone:** (681) 205-8538 · **Fax:** (681) 205-8546
## Record status
- **NPPES last updated:** August 15, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1932794112) · Data from the CMS NPPES public registry.