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3301 County Road 6 E Elkhart IN 46514-7673 | |
| (574) 266-5342 | |
| (574) 266-5847 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 3301 County Road 6 E, Elkhart, Indiana |
| Authorized Official Name and Position | Jeffrey P. Costello (CFO) |
| Authorized Official Contact | 5746473549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3301 County Road 6 E Elkhart IN 46514-7673 Ph: () - | 3301 County Road 6 E Elkhart IN 46514-7673 Ph: (574) 266-5342 |
| NPI Number | 1710329008 |
|---|---|
| Provider Enumeration Date | 07/27/2013 |
| Last Update Date | 09/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710329008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01054569A (Indiana) | 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 | |
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 | |