Elkhart Clinic, Llc in Elkhart - Multi-specialty
Elkhart Clinic, Llc - NPI 1013912286
Elkhart Clinic, Llc is a Multi-specialty in Elkhart, Indiana. Elkhart Clinic, Llc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Elkhart Clinic, Llc is 1013912286. The last update date is 2014-04-30.
Elkhart Clinic, Llc's current location address is Po Box 2968, Elkhart, Indiana. You can contact this provider via phone number 5742963200 and fax number 5742963392. The mailing address for Elkhart Clinic, Llc is Po Box 2968, Elkhart, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elkhart Clinic, Llc |
|---|---|
| Address | Po Box 2968, Elkhart, Indiana |
| Phone Number | 5742963200 |
| Fax Number | 5742963392 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Boyer R. Kevin |
| Telephone Number | 5742963200 |
NPI Number Detail
| NPI Number | 1013912286 |
|---|---|
| Provider Enumeration Date | 2005-06-15 |
| Last Updated Date | 2014-04-30 |
Provider Mailing Address Detail
| Address | Po Box 2968 |
|---|---|
| City | Elkhart |
| State | Indiana (IN) |
| Post Code | 4651529680 |
| Phone Number | 5742963200 |
| Fax Number | 5742963392 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 359310001 | IN | DMERC PTAN | |
| 100466600A | IN | -- |
Post Comment/ Review Below
What is the Elkhart Clinic, Llc's 1013912286?
The Elkhart Clinic, Llc's NPI (National Provider Identifier) Number is 1013912286. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Elkhart Clinic, Llc?
The Elkhart Clinic, Llc is situated at Po Box 2968, in the city of Elkhart, state of IN, with the zip code 4651529680.
What is Elkhart Clinic, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elkhart Clinic, Llc's specialized field of practice is Multi-specialty, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm1300X.
On what date did the Elkhart Clinic, Llc receive the assignment of its 1013912286 from the Centers for Medicare & Medicaid Services?
The Elkhart Clinic, Llc was issued its 1013912286 by the Centers for Medicare & Medicaid Services on 2005-06-15.
When was the information regarding Elkhart Clinic, Llc most recently updated?
The details pertaining to the Elkhart Clinic, Llc, including its address, specialty, and other relevant information, were last refreshed on 2014-04-30.