Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premise Health of Connecticut Medical, PC

Organization Primary Care Clinic/Center · NPI 1598054793

Premise Health of Connecticut Medical, PC is a Primary Care Clinic/Center in Manassas, Virginia. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9600 Godwin Dr
Manassas, VA 20110-4162
Phone: (703) 396-1067
Fax: (703) 396-1060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1598054793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Leizman — President · (216) 479-9063
Other names Mtv Health Center; Mtv Health Center
NPI enumeratedMarch 29, 2011
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing address5500 Maryland Way, Brentwood, TN 37027-4948

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