Goshen Health System, Inc | |
450 E Country Ln Shipshewana IN 46565-8568 | |
(260) 768-4141 | |
(260) 768-7295 |
Full Name | Goshen Health System, Inc |
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Speciality | Family Medicine |
Location | 450 E Country Ln, Shipshewana, Indiana |
Authorized Official Name and Position | Jonathan J Yoder (VP) |
Authorized Official Contact | 5743642560 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Goshen Health System, Inc Po Box 834 Goshen IN 46527-0834 Ph: () - | Goshen Health System, Inc 450 E Country Ln Shipshewana IN 46565-8568 Ph: (260) 768-4141 |
NPI Number | 1174365845 |
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Provider Enumeration Date | 06/12/2024 |
Last Update Date | 06/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174365845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Midway Lakepark - Shipshewana Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 E Middlebury St, Shipshewana, IN 46565 Phone: 260-768-7411 | |
Community Medical Center Of Shipshewana Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Van Buren St, Shipshewana, IN 46565 Phone: 260-768-4182 Fax: 260-768-4357 |