| Premise Health Of Indiana Medical Pc | |
|
4601 Highway 62 E Bldg 120 Mount Vernon IN 47620-9682 | |
| (812) 307-2336 | |
| (812) 307-4025 |
| Full Name | Premise Health Of Indiana Medical Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4601 Highway 62 E Bldg 120, Mount Vernon, Indiana |
| Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Indiana Medical Pc 5500 Maryland Way Brentwood TN 37027-7048 Ph: (812) 307-2336 | Premise Health Of Indiana Medical Pc 4601 Highway 62 E Bldg 120 Mount Vernon IN 47620-9682 Ph: (812) 307-2336 |
| NPI Number | 1811862212 |
|---|---|
| Provider Enumeration Date | 10/07/2025 |
| Last Update Date | 10/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811862212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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