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

Premise Health of Wisconsin Medical SC

Organization Multi-Specialty Clinic/Center · NPI 1760109052

Premise Health of Wisconsin Medical SC is a Multi-Specialty Clinic/Center in Kenosha, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4303 39th Ave
Kenosha, WI 53144-1969
Phone: (262) 653-4444
Show map & directions

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

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1760109052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Schwartz — President · (844) 407-7557
Other names City Of Kenosha Wellness Center
NPI enumeratedOctober 26, 2022
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address5500 Maryland Way Ste 120, Brentwood, TN 37027-4993