# GOSHEN HEALTH SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jayco Occupational Medicine Onsite Clinic, Goshen Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538900352
- **Authorized official:** JONATHAN J YODER (VP)
- **Authorized official phone:** (574) 364-2560

## Contact information

- **Practice address:** 903 S MAIN ST, MIDDLEBURY, IN 46540-8529
- **Practice address phone:** (574) 825-0590
- **Practice address fax:** (574) 825-0603
- **Mailing address:** 903 S MAIN ST, MIDDLEBURY, IN 46540-8529
- **Mailing address phone:** (574) 825-0590
- **Mailing address fax:** (574) 825-0603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

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