PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION

LOUISVILLE, KY
NPI1134709843
Doing Business AsHUMANA HEALTH & WELL-BEING CENTER CLOCKTOWER
Entity TypeOrganization
Authorized ContactJONATHAN B LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2021-04-08
Last Update Date2022-08-15
Business Address
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
123 E MAIN ST
LOUISVILLE, KY 40202-2371
Phone number: 502-476-2662
Mailing Address
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number: