PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION is a multi-specialty clinic center in Bowling Green, KY. PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION NPI is 1144633892. The provider is registered as an organization entity type.
The provider Is Doing Business As Henkel Healthcare Center.
The provider's business location address is:
381 SOUTHWOOD COURT
BOWLING GREEN, KY
ZIP 42101-513
Phone: (279) 793-5390
Fax: (279) 493-5396
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 18D2084045 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/10/2014 and was last updated on 8/15/2022.