| Premise Health Of Indiana Medical Pc | |
|
5980 State Road 38 East Dayton IN 47941-0000 | |
| (765) 588-5667 | |
| (765) 449-8408 |
| Full Name | Premise Health Of Indiana Medical Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5980 State Road 38 East, Dayton, Indiana |
| Authorized Official Name and Position | Jon 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 Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Indiana Medical Pc 5980 State Road 38 East Dayton IN 47941-0000 Ph: (765) 588-5667 |
| NPI Number | 1033521752 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033521752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |