Concord Family Medicine Pc

LBN: Concord Family Medicine Pc
Concord Family Medicine Pc is an health care organization with primary practice located at 25651 County Road 20 , Elkhart IN 46517-2310. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Concord Family Medicine Pc can be contacted via phone (574) 522-1201, or through Planera, Rosemary via phone (574) 522-1201.

Contact Information

Primary practice address
25651 County Road 20 Elkhart IN 46517-2310
Phone: (574) 522-1201
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Planera, Rosemary
Phone: (574) 522-1201

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1558462101
LBN Legal business name Concord Family Medicine Pc
DBA Doing business as
Authorized official Planera, Rosemary
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Apr 22nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558462101 NPPES
Indiana MEDICAID 100113550A

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