Organization
GOSHEN HOSPITAL ASSOCIATION, INC.
Active
Parent organization
GOSHEN HOSPITAL ASSOCIATION, INC.
Other names
Care At Home Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOSHEN HOSPITAL ASSOCIATION, INC.
Authorized official
JAMES O DAGUE (CHIEF EXECUTIVE OFFICER)
(574) 533-2141
Entity
Organization
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 535-2700
Mailing address
1721 S MAIN ST, IDENTIFIERS, GOSHEN, IN 46526-4723
(574) 533-2141
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098260
BCBS
IN
Enumeration date
08/16/2006
Last updated
12/06/2007
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