PREMISE HEALTH OF WEST VIRGINIA MEDICAL MEDICAL CORPORATION NPI 1962834218

NPI Information

PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION is an urgent care clinic center in Covington, KY. PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION NPI is 1962834218. The provider is registered as an organization entity type.
The provider Is Doing Business As Fidelity Health & Wellness Center.

The provider's business location address is:

100 MAGELLAN WAY
MAIL ZONE KWGD
COVINGTON, KY
ZIP 41015-987
Phone: (859) 386-3000

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 enumeration date for this NPI number is 8/8/2013 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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