Goshen Cancer Center Outpatient Pharmacy

LBN: Goshen Hospital Association Inc
Goshen Cancer Center Outpatient Pharmacy is an health care organization with primary practice located at 200 High Park Ave , Goshen IN 46526-4810. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Goshen Hospital Association Inc can be contacted via phone (574) 364-2803, or through Schneider, Patrick via phone (574) 364-2651.

Contact Information

Primary practice address
200 High Park Ave Goshen IN 46526-4810
Phone: (574) 364-2803
Fax: (574) 364-2804
Website:
Map and Directions
Authorized official contact:
Name: Schneider, Patrick
Phone: (574) 364-2651

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 60001389A Indiana

Profile Details

NPI number 1548590847
LBN Legal business name Goshen Hospital Association Inc
DBA Doing business as Goshen Cancer Center Outpatient Pharmacy
Authorized official Schneider, Patrick
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2010
Last updated Sep 17th, 2021 - about 3 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 1548590847 NPPES
Other 2122794 PK
MEDICAID 200984460A PK

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