# GOSHEN HEALTH SYSTEM INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairfield Community Schools Onsite Clinic, Goshen Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750122578
- **Authorized official:** JONATHAN J YODER (VICE PRESIDENT)
- **Authorized official phone:** (574) 364-2560

## Contact information

- **Practice address:** 67315 COUNTY ROAD 31, GOSHEN, IN 46528-9300
- **Practice address phone:** (574) 534-1143
- **Practice address fax:** (574) 534-1153
- **Mailing address:** 67315 COUNTY ROAD 31, GOSHEN, IN 46528-9300
- **Mailing address phone:** (574) 534-1143
- **Mailing address fax:** (574) 534-1153

## Taxonomy

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

## Other

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