PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION is a multi-specialty clinic center in Louisville, KY. PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION NPI is 1134709843. The provider is registered as an organization entity type.
The provider Is Doing Business As Humana Health & Well-being Center Clocktower.
The provider's business location address is:
123 E MAIN ST
LOUISVILLE, KY
ZIP 40202-371
Phone: (502) 476-2662
Fax: (502) 509-6976
The provider's authorized official is Jonathan B 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 18D2226610 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/8/2021 and was last updated on 8/15/2022.