Organization · Type 2 NPI

Premise Health of Ohio Medical PC

Multi-Specialty Clinic/Center · Columbus Grove, OH

NPI number 1649943457 Active

Practice location

200 Sugar Grove Ln
Columbus Grove, OH 45830-9627

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 1649943457

Premise Health of Ohio Medical PC's National Provider Identifier is 1649943457, issued on Jul 28, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Columbus Grove, OH. The record was last updated on Feb 13, 2026.