# GOSHEN HEALTH SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GOSHEN PHYSICIANS
- **Other names:** Jayco Family Care Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861114365
- **Legal business name:** GOSHEN PHYSICIANS
- **Authorized official:** WILLIAM BORN (DIRECTOR)
- **Authorized official phone:** (574) 364-2695

## Contact information

- **Practice address:** 109 W US HWY 20, MIDDLEBURY, IN 46540-9202
- **Practice address phone:** (574) 825-4585
- **Practice address fax:** (574) 825-4586
- **Mailing address:** 109 W US HWY 20, MIDDLEBURY, IN 46540-9202
- **Mailing address phone:** (574) 825-4585
- **Mailing address fax:** (574) 825-4586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/13/2022
- **Last updated:** 06/05/2024