Active NPI
Premise Health of Wisconsin Medical, S.C.
- Multi-Specialty Clinic/Center
- La Crosse, WI
National Provider Identifier
1003591223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PREMISE HEALTH OF WISCONSIN MEDICAL, S.C.
- Practice address
- 2835 Darling CT Ste 101
La Crosse, WI 54601-2755 - Phone
- (608) 781-4460
- Fax
- (608) 781-5587
- NPI assigned
- Jun 15, 2023
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Edward William Schwartz
- Title
- President
- Phone
- (844) 877-7557
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- La Crosse, WI
- NPI 1013380138
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2068162 | Premise Health of Wisconsin Medical, SC | Certificate of waiver | Oct 28, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Premise Health of Wisconsin Medical SC
Corporate family (same tax ID) 12
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Schofield, WI
- NPI 1043102221
-
- Multi-Specialty Clinic/Center
- Oshkosh, WI
- NPI 1235890435
-
- Multi-Specialty Clinic/Center
- Tomahawk, WI
- NPI 1710644075
-
- Primary Care Clinic/Center
- Mineral Point, WI
- NPI 1811173313
-
- Multi-Specialty Clinic/Center
- Madison, WI
- NPI 1154074326
-
- Multi-Specialty Clinic/Center
- Franklin, WI
- NPI 1265919989
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1376260646
-
- Multi-Specialty Clinic/Center
- Kenosha, WI
- NPI 1760109052
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1912484635
-
- Multi-Specialty Clinic/Center
- Windsor, WI
- NPI 1912690439
-
- Multi-Specialty Clinic/Center
- Appleton, WI
- NPI 1922791789
-
- Multi-Specialty Clinic/Center
- Hayward, WI
- NPI 1942968953
Locations
2835 Darling Ct
Ste 101
La Crosse, WI 54601
Phone (608) 781-4460
2222 Kwik Trip Way
La Crosse, WI 54603
Phone (608) 780-2269
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2835 Darling CT Ste 101
La Crosse, WI 54601-2755
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names 1
NPPES NPI Registry- Kwik Trip Center for Health at La Crosse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2026.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1003591223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MARYLAND WAY STE 120",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 DARLING CT STE 101",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546012755",
"telephone_number": "608-781-4460",
"fax_number": "608-781-5587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMISE HEALTH OF WISCONSIN MEDICAL, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-15",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "844-877-7557"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kwik Trip Center for Health at La Crosse",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.