Organization Active NPI

Premise Health of Wisconsin Medical, S.C.

  • Multi-Specialty Clinic/Center
  • La Crosse, WI
National Provider Identifier
1003591223
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2068162Premise Health of Wisconsin Medical, SC2835 Darling Court Suite 101, La Crosse, WI 54601Certificate of waiverOct 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Premise Health of Wisconsin Medical SC13 organizations share this tax ID

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

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)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.