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Organization
ELKHART CLINIC ASC, LLC
Active
Organization
ELKHART CLINIC ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN R. BOYER (CHIEF EXECUTIVE OFFICER)
(574) 296-3200
Entity
Organization
Contact information
Practice address
2117 W LEXINGTON AVE, ELKHART, IN 46514-1423
(574) 296-3437
(574) 296-3447
Mailing address
PO BOX 2997, ELKHART, IN 46515-2997
(574) 296-3437
(574) 296-3447
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
04-003903-1
IN
Other
Enumeration date
06/15/2005
Last updated
04/29/2014
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