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Premise Health of Indiana Medical PC

Organization Active NPI Multi-Specialty Clinic/Center · Winamac, IN

NPI 1851065700 · NPPES record last updated Feb 5, 2026

Key facts

NPI
1851065700
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
PREMISE HEALTH OF INDIANA MEDICAL PC
Practice address
144 S 100 W
Winamac, IN 46996-7711
Phone
(574) 355-3111
Fax
(574) 217-4825
NPI assigned
Aug 4, 2021
Organization subpart
No

Authorized official

Name
Edward William Schwartz
Title
President
Phone
(844) 407-7557

Corporate family (same tax ID) 25

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2241062Premise Health of Indiana Medical, PC
144 South 100 West, Winamac, IN 46996		Certificate of waiverOct 24, 2027

National Provider Directory

Tax ID family
Premise Health of Indiana Medical PC (26 organizations share this tax ID)

Locations

144 S 100 W
Winamac, IN 46996
Phone (574) 355-3111

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

144 S 100 W
Winamac, IN 46996-7711

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Other names

  • Our Clinic @Braun Doing business as

Other providers in Winamac, IN

All providers in Winamac, IN · Multi-Specialty Clinic/Center in Indiana

Sources for this page

Verify at the official NPI Registry.