OrganizationActive
Premise Health of Utah Medical PC
NPI 1063986800 · Multi-Specialty Clinic/Center · West Valley City, UT
Provider details
- NPI number
- 1063986800
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Edward Schwartz, President(844) 407-7557
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4163 S 3200 W
West Valley City, UT 84119-5128
Phone: (801) 964-9355
Fax: (801) 967-2692
Street-level locationGet directions
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other names (DBA / former)
- Doing business as
- Granite Wellness Center
- Doing business as
- Granite Wellness Center
Registry dates
- Enumerated
- 2019-01-15
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.