GOSHEN HEALTH SYSTEM INC NPI 1003657503

NPI Information

  • NPI: 1003657503
  • Provider Name: GOSHEN HEALTH SYSTEM, INC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • :
  • Address: 1808 CHARLTON CT
    GOSHEN, IN
    ZIP 46526
  • Phone: (574) 533-8540

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NPI Details

GOSHEN HEALTH SYSTEM, INC is an urology in Goshen, IN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. GOSHEN HEALTH SYSTEM, INC NPI is 1003657503. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1808 CHARLTON CT
GOSHEN, IN
ZIP 46526-463
Phone: (574) 533-8540
Fax: (574) 534-5722

The provider's authorized official is Jonathan J Yoder .
The authorized official title is Vp and has the following contact phone number (574) 364-2560.

The enumeration date for this NPI number is 6/6/2024 and was last updated on 3/3/2025.

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
1208800000XUrologyYes
2363L00000XNurse PractitionerNo

What is NPI?

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This page was last updated on: 3/30/2025

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