Primary Care At Mishawaka - Primary Care in Mishawaka, IN

Primary Care At Mishawaka is a primary clinic (Clinic/center - Multi-specialty) in Mishawaka, Indiana. The current practice location for Primary Care At Mishawaka is 410 Park Pl Ste A, Mishawaka, Indiana. For appointments, you can reach them via phone at (574) 252-0667. The mailing address for Primary Care At Mishawaka is 410 Park Pl, Suite A, Mishawaka, Indiana and phone number is (574) 252-0667.

Primary Care At Mishawaka is licensed to practice in * (Not Available) (license number ) and its NPI number is 1851497945. 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) 252-0667.

Contact Information

Primary Care At Mishawaka
410 Park Pl Ste A
Mishawaka
IN 46545-3557
(574) 252-0667
(574) 807-8845

Primary Care Clinic Profile

Full NamePrimary Care At Mishawaka
SpecialityClinic/center - Multi-specialty
Location410 Park Pl Ste A, Mishawaka, Indiana
Authorized Official Name and PositionKevin R Boyer (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact5742963200
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Primary Care At Mishawaka
410 Park Pl
Suite A
Mishawaka
IN 46545-3557

Ph: (574) 252-0667
Primary Care At Mishawaka
410 Park Pl Ste A
Mishawaka
IN 46545-3557

Ph: (574) 252-0667

NPI Details:

NPI Number1851497945
Provider Enumeration Date09/15/2006
Last Update Date05/08/2019

Medical Identifiers

Medical identifiers for Primary Care At Mishawaka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851497945NPI-NPPES
100466600MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

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