Organization
PREMISE HEALTH OF WEST VIRGINIA MEDICAL MEDICAL CORPORATION
Active
Other names
Humana Health & Well-being Center Clocktower
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WILLIAM SCHWARTZ (PRESIDENT)
(844) 407-7557
Entity
Organization
Contact information
Practice address
123 E MAIN ST, LOUISVILLE, KY 40202-2371
(502) 476-2662
(502) 509-6976
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
02/02/2026
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