Organization · Type 2 NPI

Premise Health of Indiana Medical PC

Multi-Specialty Clinic/Center · Whiting, IN

NPI number 1699446948 Active

Practice location

2815 Indianapolis Blvd # MC113
Whiting, IN 46394-2197

Fax (219) 473-5488

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...

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About NPI 1699446948

Premise Health of Indiana Medical PC's National Provider Identifier is 1699446948, issued on Sep 27, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Whiting, IN. The record was last updated on Feb 17, 2026.