# GOSHEN AMBULATORY CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043288111
- **Authorized official:** DEBORAH STARNES (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (574) 534-8794

## Contact information

- **Practice address:** 1605 WINSTED DR, GOSHEN, IN 46526-4655
- **Practice address phone:** (574) 534-8794
- **Practice address fax:** (574) 534-3082
- **Mailing address:** 1605 WINSTED DR, GOSHEN, IN 46526-4655
- **Mailing address phone:** (574) 534-8794
- **Mailing address fax:** (574) 534-3082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 06/11/2008