PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION

BOWLING GREEN, KY
NPI1629737242
Doing Business AsCITY OF BOWLING GREEN
Entity TypeOrganization
Authorized ContactJONATHAN B LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2021-12-10
Last Update Date2022-08-15
Business Address
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
1017 COLLEGE ST
BOWLING GREEN, KY 42101-2136
Phone number: 270-393-3013
Mailing Address
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number: