Premise Health of West Virginia Medical Medical Corporation
Organization Active NPI Multi-Specialty Clinic/Center · Bowling Green, KY
NPI 1144633892 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1144633892
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- PREMISE HEALTH OF WEST VIRGINIA MEDICAL MEDICAL CORPORATION
- Practice address
- 381 Southwood Court
Bowling Green, KY 42101-7513 - Phone
- (279) 793-5390
- Fax
- (279) 493-5396
- NPI assigned
- Jun 10, 2014
- Organization subpart
- No
Authorized official
- Name
- Edward William Schwartz
- Title
- President
- Phone
- (844) 407-7557
Corporate family (same tax ID) 26
Practitioners 3
-
Lena M Gokey, APRN
-
Thomas Vogler, APRN
-
Edward Schwartz, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141120001962 | KY | Part B Supplier - Clinic/Group Practice | 9133341464 |
Receives reassigned benefits from 2 practitioners Practice locations: Bowling Green, KY |
National Provider Directory
- Tax ID family
- Premise Health of West Virginia Medical Medical Corporation
Locations
381 Southwood Ct
Bowling Green, KY 42101
Phone (279) 793-5390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
381 Southwood Court
Bowling Green, KY 42101-7513
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names
- Henkel Healthcare Center
Other providers in Bowling Green, KY
- Precision Dental Partners, PLLC
- Precision Eye Care Professionals PLLC
- Premier Counseling, LLC
- Premier Integrity Solutions Inc
- Premier Radiology Services PSC
- Premise Health of West Virginia Medical Medical Corporation
- Pamela Marie Pressgrove
- Katherine R Prewitt
- Allan Pribble
- Adam Price
All providers in Bowling Green, KY · Multi-Specialty Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.