Bristol Street Family Practice - Primary Care in Elkhart, IN

Bristol Street Family Practice is a primary clinic (Family Medicine) in Elkhart, Indiana. The current practice location for Bristol Street Family Practice is 609 W Bristol St, Elkhart, Indiana. For appointments, you can reach them via phone at (574) 262-2817. The mailing address for Bristol Street Family Practice is 609 W Bristol St, Elkhart, Indiana and phone number is (574) 262-2817.

Bristol Street Family Practice is licensed to practice in Indiana (license number 01027071A) and its NPI number is 1467510966. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (574) 262-2817.

Contact Information

Bristol Street Family Practice
609 W Bristol St
Elkhart
IN 46514-2900
(574) 262-2817
(574) 262-2941

Primary Care Clinic Profile

Full NameBristol Street Family Practice
SpecialityFamily Medicine
Location609 W Bristol St, Elkhart, Indiana
Authorized Official Name and PositionRichard Allen Hastings (OWNER)
Authorized Official Contact5742622817
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bristol Street Family Practice
609 W Bristol St
Elkhart
IN 46514-2900

Ph: (574) 262-2817
Bristol Street Family Practice
609 W Bristol St
Elkhart
IN 46514-2900

Ph: (574) 262-2817

NPI Details:

NPI Number1467510966
Provider Enumeration Date12/05/2006
Last Update Date06/12/2008

Medical Identifiers

Medical identifiers for Bristol Street Family Practice such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467510966NPI-NPPES
100112380AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01027071A (Indiana)Primary

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