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

Premise Health of Pennsylvania Medical, PC

Organization Multi-Specialty Clinic/Center · NPI 1689457715

Premise Health of Pennsylvania Medical, PC is a Multi-Specialty Clinic/Center in Hanover Township, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

550 New Commerce Blvd
Hanover Township, PA 18706-1404
Phone: (615) 468-3188
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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 number1689457715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Leizman — President · (615) 468-6270
Other names Adidas Wilkes-Barre Health Center
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023
Mailing address5500 Maryland Way Ste 120, Brentwood, TN 37027-4993