Elkhart Clinic, Llc | |
2117 W Lexington Ave Elkhart IN 46514-1423 | |
(574) 296-3444 | |
(574) 296-3328 |
Full Name | Elkhart Clinic, Llc |
---|---|
Speciality | Clinic/center |
Location | 2117 W Lexington Ave, Elkhart, Indiana |
Authorized Official Name and Position | Timothy Porsche (MANAGING PARTNER) |
Authorized Official Contact | 5742963200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elkhart Clinic, Llc Po Box 2968 Elkhart IN 46515-2968 Ph: (574) 296-3200 | Elkhart Clinic, Llc 2117 W Lexington Ave Elkhart IN 46514-1423 Ph: (574) 296-3444 |
NPI Number | 1073181335 |
---|---|
Provider Enumeration Date | 06/14/2021 |
Last Update Date | 06/14/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073181335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
News Archive
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