Organization · Type 2 NPI
Premise Health of Indiana Medical PC
Multi-Specialty Clinic/Center · Hammond, IN
NPI number
1124796834
Active
Practice location
777 Casino Center Dr
Hammond, IN 46320-1003
Fax (219) 473-6147
Mailing address
5500 Maryland Way
Brentwood, TN 37027-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
4 other providers at this address
- Connecticut General Life Insurance CompanyClinic/Center Hammond, IN NPI 1255757332
- Three Doc P.c.Primary Care Clinic/Center Hammond, IN NPI 1720985989
- Barbara Lumbarkoski, FNP-CFamily Nurse Practitioner Hammond, IN NPI 1396050324
- Susan Wallace Barton, FNP-BCFamily Nurse Practitioner Hammond, IN NPI 1700310950
About NPI 1124796834
Premise Health of Indiana Medical PC's National Provider Identifier is 1124796834, issued on Aug 30, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Hammond, IN. The record was last updated on Feb 2, 2026.