Elkhart Clinic Asc, Llc

LBN: Elkhart Clinic Asc, Llc
Elkhart Clinic Asc, Llc is an health care organization with primary practice located at 2117 W Lexington Ave , Elkhart IN 46514-1423. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Elkhart Clinic Asc, Llc can be contacted via phone (574) 296-3437, or through Boyer, Kevin R. via phone (574) 296-3200.

Contact Information

Primary practice address
2117 W Lexington Ave Elkhart IN 46514-1423
Phone: (574) 296-3437
Fax: (574) 296-3447
Website:
Map and Directions
Authorized official contact:
Name: Boyer, Kevin R.
Phone: (574) 296-3200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 04-003903-1 Indiana

Profile Details

NPI number 1811992092
LBN Legal business name Elkhart Clinic Asc, Llc
DBA Doing business as
Authorized official Boyer, Kevin R.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2005
Last updated Apr 29th, 2014 - about 11 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 1811992092 NPPES
Indiana MEDICAID 200263270A

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