Independence Health Center in Elkhart, IN - Physician Assistant

Independence Health Center is a Physician Assistant based in Elkhart, Indiana. Independence Health Center is licensed to practice in Indiana (license number ) and their current practice location is 640 Industrial Pkwy, Elkhart, Indiana. It can be reached at their office (for appointments etc.) via phone at (574) 522-7203.

NPI number for Independence Health Center is 1316955644 and their current mailing address is 640 Industrial Pkwy, Elkhart, Indiana. Independence Health Center does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1316955644.

Contact Information

	Independence Health Center
	640 Industrial Pkwy, Elkhart, IN 46516-5414
	(574) 522-7203
	(574) 522-7405

Healthcare Provider's Profile

Full Name	Independence Health Center
Type	Facility
Speciality	Physician Assistant
Location	640 Industrial Pkwy, Elkhart, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1316955644
Provider Enumeration Date: 08/03/2006
Last Update Date: 08/22/2020

Medical Identifiers

Medical identifiers for Independence Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316955644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	(* (Not Available))	Primary
207Q00000X	Family Medicine	(* (Not Available))	Primary
225100000X	Physical Therapist	(Indiana)	Primary
363A00000X	Physician Assistant	(Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Independence Health Center is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Independence Health Center 640 Industrial Pkwy, Elkhart, IN 46516-5414 Ph: (574) 522-7203	Independence Health Center 640 Industrial Pkwy, Elkhart, IN 46516-5414 Ph: (574) 522-7203

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Independence Health Center - in Elkhart, IN