Organization
GOSHEN HOSPITAL ASSOCIATION, INC
Active
Other names
Care at Home Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES O. DAGUE (CHIEF EXECUTIVE OFFICER)
(574) 535-2666
Entity
Organization
Contact information
Practice address
1721 S MAIN ST, GOSHEN, IN 46526-4723
(574) 535-2700
(574) 535-2815
Mailing address
PO BOX 723, GOSHEN, IN 46527-0723
(574) 535-2700
(574) 535-2815
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098260
BCBS
IN
Enumeration date
02/21/2006
Last updated
08/22/2020
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