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

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone 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.