Organization
GOSHEN HEALTH SYSTEM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN YODER (VICE PRESIDENT)
(574) 364-2610
Entity
Organization
Contact information
Practice address
2004 ELKHART RD STE A, GOSHEN, IN 46526-1118
(574) 364-2611
(574) 364-2784
Mailing address
PO BOX 834, GOSHEN, IN 46527-0834
(574) 364-2611
(574) 364-2784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IN
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
261QR1300X
Rural Health Clinic/Center
15-3893
IN
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114010
—
IN
05
—
200154600
—
IN
05
—
200528220
—
IN
05
—
201388930
—
IN
Enumeration date
05/27/2006
Last updated
08/15/2022
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