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PREMISE HEALTH OF INDIANA MEDICAL PC
NPI 1811862212
Clinic/Center - Multi-Specialty in Mount Vernon, IN

Active since October 07, 2025CLIA 15D2093904 · Waiver
4601 HIGHWAY 62 E BLDG 120, MOUNT VERNON, IN 47620(812) 307-2336(812) 307-4025 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Oct 7, 2025 (2 updates tracked since 2025).

About Premise Health Of Indiana Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMISE HEALTH OF INDIANA MEDICAL PC (NPI 1811862212) is a healthcare organization registered as a multi-specialty in Mount Vernon, Indiana and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1811862212
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF INDIANA MEDICAL PC
Location Address4601 HIGHWAY 62 E BLDG 120Mount Vernon, IN 47620-9682
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048 · (812) 307-2336 · Fax (812) 307-4025
Phone(812) 307-2336
Fax(812) 307-4025
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateOctober 7, 2025
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1811862212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4601 HIGHWAY 62 E BLDG 120, Mount Vernon, IN 47620
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2093904

Premise Health Of Indiana Medical, PC · Mt Vernon, IN
Active · expires Apr 6, 2027
CLIA Number15D2093904
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorJohn Clarke
Laboratory Phone(812) 307-2336
Laboratory LocationPremise Health Of Indiana Medical, PC4601 Highway 62 E, Mt Vernon, IN 47620
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of Indiana Medical PC's NPI number?

The NPI number for Premise Health Of Indiana Medical PC is 1811862212. It was assigned to this organization in the NPPES registry on October 7, 2025.

Where is Premise Health Of Indiana Medical PC located?

Premise Health Of Indiana Medical PC is located at 4601 Highway 62 E Bldg 120, Mount Vernon, IN 47620. The listed phone number is (812) 307-2336.

What is Premise Health Of Indiana Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Indiana Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2093904) is associated with this NPI, valid through April 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Indiana Medical PC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.