Mishawaka Clinic, P.C. in Mishawaka - Family Medicine
Mishawaka Clinic, P.C. - NPI 1972776938
Mishawaka Clinic, P.C. is a Family Medicine in Mishawaka, Indiana. Mishawaka Clinic, P.C. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mishawaka Clinic, P.C. is 1972776938. The last update date is 2011-04-08.
Mishawaka Clinic, P.C.'s current location address is 303 S. Main St., Mishawaka, Indiana. You can contact this provider via phone number 5742540800 and fax number 5742540812. The mailing address for Mishawaka Clinic, P.C. is 303 S. Main St., Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mishawaka Clinic, P.C. |
|---|---|
| Address | 303 S. Main St., Mishawaka, Indiana |
| Phone Number | 5742540800 |
| Fax Number | 5742540812 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Reidy E. James |
| Credentials | M.D. |
| Telephone Number | 5742540800 |
NPI Number Detail
| NPI Number | 1972776938 |
|---|---|
| Provider Enumeration Date | 2008-04-10 |
| Last Updated Date | 2011-04-08 |
Provider Mailing Address Detail
| Address | 303 S. Main St. |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 46544 |
| Phone Number | 5742540800 |
| Fax Number | 5742540812 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1497794010 | IN | NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mishawaka Clinic, P.C. by the Centers for Medicare & Medicaid Services?
The Mishawaka Clinic, P.C. has been issued the NPI (National Provider Identifier) 1972776938, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mishawaka Clinic, P.C. is geographically located?
The Mishawaka Clinic, P.C. is physically situated at the following location: 303 S. Main St., Mishawaka, IN, 46544.
What is the Mishawaka Clinic, P.C.'s area of specialization and corresponding taxonomy classification?
The Mishawaka Clinic, P.C.'s specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1972776938 to Mishawaka Clinic, P.C.?
The Centers for Medicare & Medicaid Services assigned the 1972776938 to Mishawaka Clinic, P.C. on 2008-04-10.
When was the information pertaining to Mishawaka Clinic, P.C. most recently updated or revised?
The details related to Mishawaka Clinic, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2011-04-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC