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PREMISE HEALTH OF OHIO MEDICAL P.A NPI 1104114529


NPI Information

NPI: 1104114529
Provider Name: PREMISE HEALTH OF OHIO MEDICAL, P.A

Doing Business As: HEALTH DEPARTMENT CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
100 W BURTON ST
MURFREESBORO, TN
ZIP 37130
Phone: (615) 898-7880
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PREMISE HEALTH OF OHIO MEDICAL, P.A is a primary care clinic center in Murfreesboro, TN. PREMISE HEALTH OF OHIO MEDICAL, P.A NPI is 1104114529. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Department Clinic.

The provider's business location address is:

100 W BURTON ST
MURFREESBORO, TN
ZIP 37130-657
Phone: (615) 898-7880

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The enumeration date for this NPI number is 7/19/2011 and was last updated on 8/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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