Organization
PRIVIA MEDICAL GROUP INDIANA, LLC
Active
Parent organization
ELKHART CLINIC, LLC
Other names
Elkhart Clinic Hematology and Oncology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELKHART CLINIC, LLC
Authorized official
TIMOTHY PORSCHE MD (MANAGING PARTNER)
(574) 296-3200
Entity
Organization
Contact information
Practice address
2117 W LEXINGTON AVE, ELKHART, IN 46514-1423
(574) 296-3444
(574) 296-3328
Mailing address
PO BOX 2968, ELKHART, IN 46515-2968
(574) 296-3200
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
05/12/2025
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