# PREMISE HEALTH OF OHIO MEDICAL PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Butler Advantage - Beavercreek
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912570821
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 3040 KEMP RD STE 100, BEAVERCREEK, OH 45431-2644
- **Practice address phone:** (248) 837-2625
- **Practice address fax:** (248) 837-2682
- **Mailing address:** 5500 MARYLAND WAY, BRENTWOOD, TN 37027-7048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2021
- **Last updated:** 02/05/2026
