Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premise Health of Indiana Medical, PC

Organization Multi-Specialty Clinic/Center · NPI 1255085379

Premise Health of Indiana Medical, PC is a Multi-Specialty Clinic/Center in Lafayette, Indiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5500 State Road 38 E
Lafayette, IN 47905-9405
Phone: (765) 588-5667
Fax: (765) 449-8408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1255085379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Leizman — President · (216) 479-9063
Other names Sia Occupational Medical Clinic; Sia Occupational Medical Clinic
NPI enumeratedFebruary 8, 2022
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing address5500 Maryland Way Ste 120, Brentwood, TN 37027-4993