PREMISE HEALTH OF INDIANA MEDICAL PC
NPI 1821764226
Clinic/Center - Multi-Specialty in Ashley, IN

Active since August 17, 2021CLIA 15D1090927 · Waiver

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2026, Aug 15, 2022, Jul 13, 2022 and 1 more (4 updates tracked since 2021).

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 1821764226), doing business as Midway Hudson - Ashley, is a healthcare organization registered as a multi-specialty in Ashley, Indiana and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1821764226
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF INDIANA MEDICAL PC
Location Address105 IN-4Ashley, IN 46705
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 17, 2021
Last NPPES UpdateFebruary 5, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
NPI 1821764226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
105 IN-4, Ashley, IN 46705

Other Names 1

Doing Business AsMidway Hudson - Ashley

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 15D1090927

Premise Health Of Indiana Medical, PC · Hudson, IN
Active · expires Oct 21, 2026
CLIA Number15D1090927
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorSara Bauer
Laboratory Phone(260) 589-3288
Laboratory LocationPremise Health Of Indiana Medical, PC105 W State St, Rd 4, Hudson, IN 46747
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 1821764226. It was assigned to this organization in the NPPES registry on August 17, 2021. The provider is doing business as Midway Hudson - Ashley.

Where is Premise Health Of Indiana Medical PC located?

Premise Health Of Indiana Medical PC is located at 105 In-4, Ashley, IN 46705. The listed phone number is (260) 589-3288.

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 15D1090927) is associated with this NPI, valid through October 21, 2026. 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 February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.