Organization · Type 2 NPI

Premise Health of Indiana Medical PC

Multi-Specialty Clinic/Center · Winamac, IN

NPI number 1851065700 Active

Practice location

144 S 100 W
Winamac, IN 46996-7711

Fax (574) 217-4825

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 1851065700

Premise Health of Indiana Medical PC's National Provider Identifier is 1851065700, issued on Aug 4, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Winamac, IN. The record was last updated on Feb 5, 2026.