MEDICARE: PREMISE HEALTH OF NEVADA MEDICAL HINITT PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1558225631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMISE HEALTH OF NEVADA MEDICAL HINITT PC

Provider Business Mailing Address
First Line	:	5500 MARYLAND WAY STE 120
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4993
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510 WIGWAM PKWY STE 106
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-7115
Country	:	US
Telephone Number	:	702-268-8001
Fax Number	:	702-446-7607

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVEN ASHLEY HINITT
Credential	:
Telephone Number	:	210-563-5077

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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