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Organization
GOSHEN HEALTH SYSTEM INC
Active
Organization
GOSHEN HEALTH SYSTEM INC
Active
Other names
Jayco Occupational Medicine Onsite Clinic, Goshen Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN J YODER (VP)
(574) 364-2560
Entity
Organization
Contact information
Practice address
903 S MAIN ST, MIDDLEBURY, IN 46540-8529
(574) 825-0590
(574) 825-0603
Mailing address
903 S MAIN ST, MIDDLEBURY, IN 46540-8529
(574) 825-0590
(574) 825-0603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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