Organization · Type 2 NPI
Premise Health of Indiana Medical PC
Multi-Specialty Clinic/Center · Avon, IN
NPI number
1265005177
Active
Practice location
10144 Veterans Dr
Avon, IN 46123-6106
Fax (317) 561-5048
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...
About NPI 1265005177
Premise Health of Indiana Medical PC's National Provider Identifier is 1265005177, issued on Jul 19, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Avon, IN. The record was last updated on Oct 13, 2026.