Active NPI
Premise Health of Utah Medical PC
- Multi-Specialty Clinic/Center
- West Valley City, UT
National Provider Identifier
1093488926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PREMISE HEALTH OF UTAH MEDICAL PC
- Doing business as
- 3 Form - West Valley City
- Practice address
- 2300 S 2300 W Ste B
West Valley City, UT 84119-2022 - Phone
- (801) 975-7505
- NPI assigned
- Jul 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward William Schwartz
- Title
- President
- Phone
- (844) 407-7557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
2300 S 2300 W Ste B
West Valley City, UT 84119-2022
Mailing address
5500 Maryland Way
Brentwood, TN 37027-7048
Other names 1
- 3 Form - West Valley City
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 |
|---|---|---|---|
| 46D2117266 | Premise Health of Utah Medical, PC | Certificate of waiver | Aug 11, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- 3 Form - West Valley City
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- West Valley City, UT
- NPI 1063986800
-
- Multi-Specialty Clinic/Center
- Spanish Fork, UT
- NPI 1184397002
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1609549542
-
- Multi-Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1790192235
Locations
2300 S 2300 W
Ste B
West Valley City, UT 84119
Phone (801) 975-7505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769990400000",
"number": "1093488926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MARYLAND WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 S 2300 W STE B",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841192022",
"telephone_number": "801-975-7505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMISE HEALTH OF UTAH MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-27",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"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": "844-407-7557"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "3 Form - West Valley City",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "3 Form - West Valley City",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.