institution
Elkhart Clinic, Llc
Multi-Specialty Clinic/Center in Mishawaka, Indiana
NPI 1235303165

Elkhart Clinic, Llc is a Multi-Specialty Clinic/Center based in Elkhart, IN and is specialized in Multi-Specialty. Elkhart Clinic, Llc practices in Mishawaka, IN. The NPI Number for Elkhart Clinic, Llc is 1235303165 and holds a License No. (Indiana).

The current practice location address for Elkhart Clinic, Llc is 410 Park Pl, Mishawaka, IN and can be reached out via phone at 574-855-5800 and via fax at 574-855-5805.

Location: 410 Park Pl, Mishawaka, IN, 46515-2968
institution
Provider Profile Details
NPI Number
1235303165
Provider Name
Elkhart Clinic, Llc
Credential
Provider Entity Type
Organization
Address
410 Park Pl, Mishawaka, IN, 46515-2968
Phone Number
574-855-5800
Fax Number
574-855-5805
Provider Enumeration Date
04/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100466600D 05 IN
0359310002 01 IN MEDICARE NSC
institution
Provider Business Practice Location Address Details
Address
410 Park Pl
City
State
Zip
46545-3557
Phone Number
574-855-5800
Fax Number
574-855-5805
person
Provider Business Mailing Address Details
Address
410 Park Pl
City
State
Zip
46545-3557
Phone Number
574-855-5800
Fax Number
574-855-5805
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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