Independence Health Center is a
Physician Assistant based in Elkhart, Indiana. Independence Health Center is licensed to practice in Indiana (license number ) and their current practice location is
640 Industrial Pkwy, Elkhart, Indiana. It can be reached at their office (for appointments etc.) via phone at
(574) 522-7203.
NPI number for Independence Health Center is 1316955644 and their current mailing address is 640 Industrial Pkwy, Elkhart, Indiana. Independence Health Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1316955644.
Healthcare Provider's Profile
| Full Name | Independence Health Center |
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| Type | Facility |
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| Speciality | Physician Assistant |
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| Location | 640 Industrial Pkwy, Elkhart, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316955644
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Independence Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316955644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (Indiana) | Primary |
| 363A00000X | Physician Assistant | (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Independence Health Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Independence Health Center
640 Industrial Pkwy,
Elkhart, IN 46516-5414
Ph: (574) 522-7203 | Independence Health Center
640 Industrial Pkwy,
Elkhart, IN 46516-5414
Ph: (574) 522-7203 |
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