Clay Township Clinic Llc in South Bend - Family Medicine
Clay Township Clinic Llc - NPI 1659555142
Clay Township Clinic Llc is a Family Medicine in South Bend, Indiana. Clay Township Clinic Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Clay Township Clinic Llc is 1659555142. The last update date is 2012-01-09.
Clay Township Clinic Llc's current location address is 50795 Indiana State Route 933, South Bend, Indiana. You can contact this provider via phone number 5742727500 and fax number 5742722291. The mailing address for Clay Township Clinic Llc is 50795 Indiana State Route 933, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clay Township Clinic Llc |
|---|---|
| Address | 50795 Indiana State Route 933, South Bend, Indiana |
| Phone Number | 5742727500 |
| Fax Number | 5742722291 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Eichorst Paul John |
| Credentials | D.O. |
| Telephone Number | 5742727500 |
NPI Number Detail
| NPI Number | 1659555142 |
|---|---|
| Provider Enumeration Date | 2007-12-20 |
| Last Updated Date | 2012-01-09 |
Provider Mailing Address Detail
| Address | 50795 Indiana State Route 933 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466372050 |
| Phone Number | 5742727500 |
| Fax Number | 5742722291 |
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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What is the unique identification code assigned to Clay Township Clinic Llc by the Centers for Medicare & Medicaid Services?
The Clay Township Clinic Llc has been issued the NPI (National Provider Identifier) 1659555142. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Clay Township Clinic Llc?
The Clay Township Clinic Llc is situated at 50795 Indiana State Route 933, in the city of South Bend, state of IN, with the zip code 466372050.
What is Clay Township Clinic Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Clay Township Clinic Llc is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659555142 to Clay Township Clinic Llc?
The Centers for Medicare & Medicaid Services assigned the 1659555142 to Clay Township Clinic Llc on 2007-12-20.
As of what date were the Clay Township Clinic Llc's details last updated?
The information pertaining to the Clay Township Clinic Llc, including its address, specialty, and other details, was most recently updated on 2012-01-09.