Organization · Type 2 NPI
Premise Health of Indiana Medical PC
Occupational Medicine Clinic/Center · Fort Wayne, IN
NPI number
1033700158
Active
Practice location
4250 Airport Expy
Fort Wayne, IN 46809-9643
Fax (260) 434-5413
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Medicine Clinic/Center Primary | 261QX0100X | None listed |
Occupational Medicine Clinic/Center: Definition to come...
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- Parkview Occupational Health Centers, Inc.Occupational Medicine Clinic/Center Fort Wayne, IN NPI 1235351602
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- QHG of Fort Wayne, Inc.Occupational Medicine Clinic/Center Fort Wayne, IN NPI 1922206341
About NPI 1033700158
Premise Health of Indiana Medical PC's National Provider Identifier is 1033700158, issued on Feb 1, 2021. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 29, 2024.