Organization · Type 2 NPI
Premise Health of Louisiana Medical Professional Medical Corporation
Multi-Specialty Clinic/Center · Norco, LA
NPI number
1609698877
Active
Practice location
14902 River Rd
Norco, LA 70079-2543
Fax (985) 764-4568
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 1609698877
Premise Health of Louisiana Medical Professional Medical Corporation's National Provider Identifier is 1609698877, issued on Oct 29, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Norco, LA. The record was last updated on Feb 12, 2026.