| Elkhart Clinic, Llc | |
|
600 East Blvd Elkhart IN 46514-2483 | |
| (574) 296-3390 | |
| (574) 296-3392 |
| Full Name | Elkhart Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 600 East Blvd, Elkhart, Indiana |
| Authorized Official Name and Position | Darryl R Busby (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 5742963200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elkhart Clinic, Llc Po Box 2968 Elkhart IN 46515-2968 Ph: (574) 296-3390 | Elkhart Clinic, Llc 600 East Blvd Elkhart IN 46514-2483 Ph: (574) 296-3390 |
| NPI Number | 1972893691 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972893691 | NPI | - | NPPES |
| PENDING | Other | IN | ANTHEM |
| PENDING | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Heart City Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-970-1441 Fax: 574-970-1449 | |
Elkhart Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3200 Fax: 574-296-3392 | |
Elkhart Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2117 W Lexington Ave, Elkhart, IN 46514 Phone: 574-296-3444 Fax: 574-296-3328 | |
Elkhart Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 W Lexington Ave, Suite B, Elkhart, IN 46514 Phone: 574-296-3200 Fax: 574-296-3392 | |
Activate Healthcare - Waste Away Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 W Beardsley Ave, Elkhart, IN 46514 Phone: 773-697-3144 | |
Beacon Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1506 Osolo Rd Ste C, Elkhart, IN 46514 Phone: 574-266-6050 Fax: 574-262-8485 | |
Susan M Moore-riesbeck Do Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28070 County Road 24, Elkhart, IN 46517 Phone: 574-273-8053 Fax: 574-273-8056 |