Premise Health of New Mexico Medical PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMISE HEALTH OF NEW MEXICO MEDICAL PC

Doing business as

Health for Life Center

Practice address

4100 Sara Rd SE # Ms
Rio Rancho, NM 87124-1025

Phone

(505) 794-6240

Fax

(505) 212-1649

NPI assigned

Sep 8, 2026

Last updated

Sep 8, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Health for Life Center Doing business as

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

CLIA laboratory certificates

Tax ID family

Intel Health for Life Center Rio Rancho3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Premise Health of New Mexico Medical P C

  dba My Health Center At Lowe's New Mexico

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1366782526
  NPD tax ID
• Premise Health of New Mexico Medical PC

  dba Intel Health for Life Center Rio Rancho

  • Clinic/Center
  • Rio Rancho, NM
  • NPI 1922381136
  NPD tax ID

Locations

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1720998404",
    "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": "4100 SARA RD SE # MS",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241025",
            "telephone_number": "505-794-6240",
            "fax_number": "505-212-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF NEW MEXICO MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "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": "Health for Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicki Powers, LISW
• Ethan A Prairie, MD
• Prebyterian Healthcare Services (PMG 528)
• Prebyterian Healthcare Services
• Precious Memoriesdoula
• Premise Health of New Mexico Medical PC (Intel Health for Life Center Rio Rancho)
• Presbyterian Healthcare Services
• Presbyterian Healthcare Services (PMG Rio Rancho High Resort 4005)
• Presbyterian Healthcare Services (PMG Rio Rancho High Resort 4100)
• Presbyterian Intel Health for Life Center

• Multi-Specialty Clinic/Center in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Multi-Specialty Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.