| Vista Community Health Center | |
|
808 N 3rd St Goshen IN 46528-7100 | |
| (574) 534-3300 | |
| (574) 971-8434 |
| Full Name | Vista Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 808 N 3rd St, Goshen, Indiana |
| Authorized Official Name and Position | Karen Miller Rush (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 5745340088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Community Health Center 808 N 3rd St Goshen IN 46528-7100 Ph: (574) 534-0088 | Vista Community Health Center 808 N 3rd St Goshen IN 46528-7100 Ph: (574) 534-3300 |
| NPI Number | 1891181517 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 12/31/2020 |
| Medicare PECOS PAC ID | 2163569401 |
|---|---|
| Medicare Enrollment ID | O20150623001394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891181517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Krabill Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1806 Charlton Ct, Goshen, IN 46526 Phone: 574-534-2400 | |
Elkhart Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1122 Professional Dr, Goshen, IN 46526 Phone: 574-296-3291 Fax: 574-296-3383 | |
Goshen Health System Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2004 Elkhart Rd Ste A, Goshen, IN 46526 Phone: 574-364-2611 Fax: 574-364-2784 | |
Goshen Health System, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1814 Charlton Ct Ste A, Goshen, IN 46526 Phone: 574-533-4169 Fax: 574-534-8822 | |
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