Elkhart Clinic Asc, Llc in Elkhart - Ambulatory Surgical
Elkhart Clinic Asc, Llc - NPI 1811992092
Elkhart Clinic Asc, Llc is a Ambulatory Surgical in Elkhart, Indiana. Elkhart Clinic Asc, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Elkhart Clinic Asc, Llc is 1811992092. The last update date is 2014-04-29.
Elkhart Clinic Asc, Llc's current location address is Po Box 2997, Elkhart, Indiana. You can contact this provider via phone number 5742963437 and fax number 5742963447. The mailing address for Elkhart Clinic Asc, Llc is Po Box 2997, Elkhart, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elkhart Clinic Asc, Llc |
|---|---|
| Address | Po Box 2997, Elkhart, Indiana |
| Phone Number | 5742963437 |
| Fax Number | 5742963447 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Boyer R. Kevin |
| Telephone Number | 5742963200 |
NPI Number Detail
| NPI Number | 1811992092 |
|---|---|
| Provider Enumeration Date | 2005-06-15 |
| Last Updated Date | 2014-04-29 |
Provider Mailing Address Detail
| Address | Po Box 2997 |
|---|---|
| City | Elkhart |
| State | Indiana (IN) |
| Post Code | 4651529970 |
| Phone Number | 5742963437 |
| Fax Number | 5742963447 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 04-003903-1 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200263270A | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Elkhart Clinic Asc, Llc?
The Elkhart Clinic Asc, Llc has been issued the NPI (National Provider Identifier) 1811992092 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Elkhart Clinic Asc, Llc located?
The Elkhart Clinic Asc, Llc is located at Po Box 2997, Elkhart, IN 4651529970.
What is the area of specialization for Elkhart Clinic Asc, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Elkhart Clinic Asc, Llc is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.
On what date was the 1811992092 assigned to Elkhart Clinic Asc, Llc?
The Elkhart Clinic Asc, Llc was issued its 1811992092 on 2005-06-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Elkhart Clinic Asc, Llc most recently updated or revised?
The details related to Elkhart Clinic Asc, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2014-04-29.