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Elkhart Clinic, Llc
Multi-Specialty Clinic/Center in Goshen, Indiana
NPI 1164846945

Elkhart Clinic, Llc is a Multi-Specialty Clinic/Center based in Elkhart, IN and is specialized in Multi-Specialty. Elkhart Clinic, Llc practices in Goshen, IN. The NPI Number for Elkhart Clinic, Llc is 1164846945 and holds a License No. (Indiana).

The current practice location address for Elkhart Clinic, Llc is 1122 Professional Dr, Goshen, IN and can be reached out via phone at 574-296-3291 and via fax at 574-296-3383.

Location: 1122 Professional Dr, Goshen, IN, 46515-2968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164846945
Provider Name
Elkhart Clinic, Llc
Credential
Provider Entity Type
Organization
Address
1122 Professional Dr, Goshen, IN, 46515-2968
Phone Number
574-296-3291
Fax Number
574-296-3383
Provider Enumeration Date
02/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100466600 05 IN
institution
Provider Business Practice Location Address Details
Address
1122 Professional Dr
City
Goshen
State
Indiana
Zip
46526-3819
Phone Number
574-296-3291
Fax Number
574-296-3383
person
Provider Business Mailing Address Details
Address
1122 Professional Dr
City
Goshen
State
Indiana
Zip
46526-3819
Phone Number
574-296-3291
Fax Number
574-296-3383
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
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Definition
Definition to come...
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