PREMISE HEALTH OF INDIANA MEDICAL PC
NPI 1851065700
Clinic/Center - Multi-Specialty in Winamac, IN

Active since August 04, 2021CLIA 15D2241062 · Waiver
144 S 100 W, WINAMAC, IN 46996(574) 355-3111(574) 217-4825 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2026, Aug 25, 2022, Sep 20, 2021 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 1851065700), doing business as Our Clinic @braun, is a healthcare organization registered as a multi-specialty in Winamac, Indiana and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1851065700
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF INDIANA MEDICAL PC
Location Address144 S 100 WWinamac, IN 46996-7711
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Fax(574) 217-4825
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 4, 2021
Last NPPES UpdateFebruary 5, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
NPI 1851065700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
144 S 100 W, Winamac, IN 46996

Other Names 1

Doing Business AsOur Clinic @braun

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 15D2241062

Premise Health Of Indiana Medical, PC · Winamac, IN
Active · expires Oct 24, 2027
CLIA Number15D2241062
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorBen Garman
Laboratory Phone(574) 355-3160
Laboratory LocationPremise Health Of Indiana Medical, PC144 South 100 West, Winamac, IN 46996
CLIA data matches this NPI record on: Address Name
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 1851065700. It was assigned to this organization in the NPPES registry on August 4, 2021. The provider is doing business as Our Clinic @Braun.

Where is Premise Health Of Indiana Medical PC located?

Premise Health Of Indiana Medical PC is located at 144 S 100 W, Winamac, IN 46996. The listed phone number is (574) 355-3111.

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 15D2241062) is associated with this NPI, valid through October 24, 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 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.