PREMISE HEALTH OF WEST VIRGINIA MEDICAL MEDICAL CORPORATION NPI 1306089560

NPI Information

PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION is a primary care clinic center in Overland Park, KS. PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION NPI is 1306089560. The provider is registered as an organization entity type.
The provider Is Doing Business As Sprint On Site Health Center Overland Park.

The provider's business location address is:

6400 SPRINT PKWY
MAILSTOP KSOPHG0202
OVERLAND PARK, KS
ZIP 66251-107
Phone: (913) 315-6432
Fax: (913) 461-2574

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 17D2144611 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2009 and was last updated on 8/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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