ELKHART CLINIC LLC NPI 1518338235

NPI Information

NPI: 1518338235
Provider Name: ELKHART CLINIC, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 15D0682018

Address:
1755 FULTON ST
SUITE A
ELKHART, IN
ZIP 46514
Phone: (574) 296-3200
Get Directions

ELKHART CLINIC, LLC is a multi-specialty clinic center in Elkhart, IN. ELKHART CLINIC, LLC NPI is 1518338235. The provider is registered as an organization entity type.

The provider's business location address is:

1755 FULTON ST
SUITE A
ELKHART, IN
ZIP 46514-927
Phone: (574) 296-3200
Fax: (574) 296-3392

The provider's authorized official is Kevin R Boyer .
The authorized official title is Ceo and has the following contact phone number (574) 296-3200.

The CLIA number assigned to this NPI record is 15D0682018 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/8/2015 and was last updated on 10/8/2015.

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	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »