| Premise Health Of Indiana Medical, P.c. | |
|
806 Jackson St Columbus IN 47201-6264 | |
| (812) 748-3412 | |
| (812) 748-3413 |
| Full Name | Premise Health Of Indiana Medical, P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 806 Jackson St, Columbus, Indiana |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Indiana Medical, P.c. 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Indiana Medical, P.c. 806 Jackson St Columbus IN 47201-6264 Ph: (812) 748-3412 |
| NPI Number | 1235509167 |
|---|---|
| Provider Enumeration Date | 10/05/2015 |
| Last Update Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235509167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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