CENTER FOR HEALING AND HOPE NPI 1316561475

NPI Information

NPI: 1316561475
Provider Name: CENTER FOR HEALING AND HOPE
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 15D2164421

Address:
400 W LINCOLN AVE
GOSHEN, IN
ZIP 46526
Phone: (574) 534-4744
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CENTER FOR HEALING AND HOPE is a community health clinic center in Goshen, IN. CENTER FOR HEALING AND HOPE NPI is 1316561475. The provider is registered as an organization entity type.

The provider's business location address is:

400 W LINCOLN AVE
GOSHEN, IN
ZIP 46526-413
Phone: (574) 534-4744
Fax: (574) 537-1186

The provider's authorized official is Missy Schrock .
The authorized official title is Executive Director and has the following contact phone number (574) 534-4744.

The CLIA number assigned to this NPI record is 15D2164421 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/4/2020 and was last updated on 3/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1811906084	OTHER	INDIANA	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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