# COMMUNITY OCCUPATIONAL MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902269889
- **Authorized official:** AIMEE WEISS RT (PRACTICE MANAGER)
- **Authorized official phone:** (574) 389-1231

## Contact information

- **Practice address:** 22818 OLD US 20, ELKHART, IN 46516-9150
- **Practice address phone:** (574) 389-1231
- **Practice address fax:** (574) 389-1232
- **Mailing address:** 22818 OLD US 20, ELKHART, IN 46516-9150
- **Mailing address phone:** (574) 389-1231
- **Mailing address fax:** (574) 389-1232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 28193462A | IN | Yes |

## Other

- **Enumeration date:** 03/30/2016
- **Last updated:** 03/30/2016