PREMISE HEALTH OF PENNSYLVANIA MEDICAL PC – NPI #1245530914
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
PREMISE HEALTH OF PENNSYLVANIA MEDICAL PC is a provider located in MALVERN, PA. NPPES has assigned the NPI number 1245530914 to PREMISE HEALTH OF PENNSYLVANIA MEDICAL PC on October 28, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was last updated on Feb 04, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREMISE HEALTH OF PENNSYLVANIA MEDICAL PC below.
NPI Profile for
PREMISE HEALTH OF PENNSYLVANIA MEDICAL PC
(more than 15 years ago)
All associated names:
Crew Care Center
Vanguard Majestic
MALVERN, PA 19355 Phone: (610) 669-9355 Fax: (610) 669-3373
BRENTWOOD, TN 37027-4993 Phone: Fax:
PRESIDENT
Phone: (844) 407-7557
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208D00000X - General Practice (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.