Provider Demographics
NPI:1972860781
Name:PREMISE HEALTH EMPLOYER SOLUTIONS LLC
Entity Type:Organization
Organization Name:PREMISE HEALTH EMPLOYER SOLUTIONS LLC
Other - Org Name:TAKE CARE EMPLOYER SOLUTIONS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SECRETARY/GENERAL COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-577-5893
Mailing Address - Street 1:5500 MARYLAND WAY STE 400
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7048
Mailing Address - Country:US
Mailing Address - Phone:844-407-7557
Mailing Address - Fax:671-649-3872
Practice Address - Street 1:523 CHALAN PASAHERU
Practice Address - Street 2:OLD COMMUTER TERMINAL
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913
Practice Address - Country:US
Practice Address - Phone:641-621-7670
Practice Address - Fax:671-649-3872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care