Organization · Type 2 NPI
Premise Health of Minnesota Medical PC
Multi-Specialty Clinic/Center · Jackson, MN
NPI number
1174431233
Active
Practice location
203 Industrial Park
Jackson, MN 56143-9447
Fax (507) 540-1135
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1174431233
Premise Health of Minnesota Medical PC's National Provider Identifier is 1174431233, issued on Aug 31, 2026. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Jackson, MN. The record was last updated on Aug 31, 2026.