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Premise Health of Maryland Medical PC

Organization Active NPI Multi-Specialty Clinic/Center · Williamsport, MD

NPI 1912673294 · NPPES record last updated Feb 5, 2026

Key facts

NPI
1912673294
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
PREMISE HEALTH OF MARYLAND MEDICAL PC
Practice address
16505 Virginia Ave
Williamsport, MD 21795-1321
Phone
(301) 582-5404
NPI assigned
Aug 18, 2021
Organization subpart
No

Authorized official

Name
Edward William Schwartz
Title
President
Phone
(844) 407-7557

Corporate family (same tax ID) 12

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2113943Premise Health of Maryland Medical P C
16505 Virginia Avenue, Williamsport, MD 21795		Certificate of waiverJun 2, 2028

National Provider Directory

Tax ID family
Family Health Center Williamsport (13 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

16505 Virginia Ave
Williamsport, MD 21795-1321

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Other names

  • Homewood - Williamsport Doing business as

Other providers in Williamsport, MD

All providers in Williamsport, MD · Multi-Specialty Clinic/Center in Maryland

Sources for this page

Verify at the official NPI Registry.