# GOSHEN HEALTH SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Goshen Physicians Endocrinology, Goshen Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053152884
- **Authorized official:** JONATHAN J YODER (VP)
- **Authorized official phone:** (574) 364-2560

## Contact information

- **Practice address:** 2024 DORCHESTER CT STE 1, GOSHEN, IN 46526-6546
- **Practice address phone:** (574) 537-1221
- **Practice address fax:** (574) 537-1225
- **Mailing address:** PO BOX 834, GOSHEN, IN 46527-0834
- **Mailing address phone:** (574) 537-1221
- **Mailing address fax:** (574) 364-2592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2024
- **Last updated:** 06/05/2024