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 Ste A , Mishawaka IN 46545-3557. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Elkhart Clinic,Llc can be contacted via phone (574) 252-0667, or through Boyer, Kevin R via phone (574) 296-3200.
Contact Information
Primary practice address
410 Park Pl Ste A
Mishawaka IN 46545-3557
Phone: (574) 252-0667
Fax: (574) 807-8845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1851497945 |
|---|---|
| LBN Legal business name | Elkhart Clinic,Llc |
| DBA Doing business as | Primary Care At Mishawaka |
| Authorized official | Boyer, Kevin R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | May 8th, 2019 - about 5 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 | 1851497945 | NPPES |
| Indiana | MEDICAID | 100466600 |
Popular Providers
-
Proliance Surgeons, Inc., P.S.
7308 Bridgeport Way W Ste 201 , Lakewood WA 98499-8000 -
University Physicians & Surgeons, Inc.
1600 Medical Center Dr Ste 4500, Huntington WV 25701-3656 -
Highland Clinic, A Prof Med Corp
1455 E Bert Kouns Loop , Shreveport LA 71105-5634 -
Wilkes Barre Asc., Lp
545 N River St , Wilkes Barre PA 18702-2600 -
Saint Joseph Community Hospital Of Mishawaka, Inc.
201 Lincoln Way W , Mishawaka IN 46544-1905 -
The Woodlands Sports Medicine Centre, Pa
1441 Woodstead Ct Ste 300, The Woodlands TX 77380-1449 -
University Physicians & Surgeons, Inc.
1616 13Th Ave Suite 2B, Huntington WV 25701-3840 -
Elkhart Clinic, Llc
5314 Lincolnway E , Mishawaka IN 46544-4249