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Contact Information

GOSHEN HEALTH SYSTEM INC
2004 ELKHART RD STE A
GOSHEN, IN46526-1118
 Phone: 574-364-2611
 Fax: 574-364-2784
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Magnetic Resonance Imaging (MRI)

207RM1200X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GOSHEN HEALTH SYSTEM INC · (Female)

NPI Number 1194772293
Status Active
Credentials
Entity Individual
Enumeration date 05/27/2006
Last updated 08/15/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 15-3893
  • IN Medicaid 100114010
  • IN Medicaid 200154600
  • IN Medicaid 200528220
  • IN Medicaid 201388930
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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