Organization
GOSHEN HEALTH SYSTEM, INC
Active
Other names
Goshen Physicians Family Medicine Shipshewana, Goshen Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN J YODER (VP)
(574) 364-2560
Entity
Organization
Contact information
Practice address
450 E COUNTRY LN, SHIPSHEWANA, IN 46565-8568
(260) 768-4141
(260) 768-7295
Mailing address
PO BOX 834, GOSHEN, IN 46527-0834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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