Primary Care At Mishawaka
LBN: Elkhart Clinic, Llc
Primary Care At Mishawaka is an health care organization with primary practice located at 410 Park Pl Suite B, Mishawaka IN 46545-3557. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty.
Elkhart Clinic, Llc can be contacted via phone (574) 855-5800, or through Porsche, Timothy via phone (574) 296-3200.
Contact Information
Primary practice address
410 Park Pl Suite B
Mishawaka IN 46545-3557
Phone: (574) 855-5800
Fax: (574) 855-5805
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
NPI number | 1235303165 |
---|---|
LBN Legal business name | Elkhart Clinic, Llc |
DBA Doing business as | Primary Care At Mishawaka |
Authorized official | Porsche, Timothy |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 22nd, 2008 |
Last updated | Jul 15th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235303165 | NPPES |
Indiana | MEDICAID | 100466600D | |
Indiana | Other | 0359310002 |
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