| Premise Health Of Indiana Medical, P.c. | |
|
1100 N Lebanon St Ste 2 Jamestown IN 46147-9381 | |
| (765) 577-5900 | |
| (765) 577-5932 |
| Full Name | Premise Health Of Indiana Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1100 N Lebanon St Ste 2, Jamestown, 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. 1100 N Lebanon St Ste 2 Jamestown IN 46147-9381 Ph: (765) 577-5900 |
| NPI Number | 1356925259 |
|---|---|
| Provider Enumeration Date | 05/07/2021 |
| Last Update Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356925259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |