NPIMap

Organization Active NPI

Premise Health of West Virginia Medical Medical Corporation

Doing business as City of Charleston

  • Multi-Specialty Clinic/Center
  • Charleston, WV
National Provider Identifier
1124792296
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PREMISE HEALTH OF WEST VIRGINIA MEDICAL MEDICAL CORPORATION
Doing business as
City of Charleston
Practice address
601 Morris St Ste 203
Charleston, WV 25301-1416
Phone
(304) 720-0221
Fax
(678) 903-0962
NPI assigned
Aug 3, 2021
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

601 Morris St Ste 203
Charleston, WV 25301-1416

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Other names 1

  • City of Charleston Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premise Health of West Virginia Medical Medical Corporation27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

601 Morris St
Ste 203
Charleston, WV 25301
Phone (681) 205-8538

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1124792296",
    "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": "601 MORRIS ST STE 203",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011416",
            "telephone_number": "304-720-0221",
            "fax_number": "678-903-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF WEST VIRGINIA MEDICAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Charleston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Charleston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.