Organization
GOSHEN HEALTH SYSTEM INC
Active
Other names
Goshen Physicians, Goshen Physicians Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN J YODER (VP)
(574) 364-2560
Entity
Organization
Contact information
Practice address
1615 WINSTED DR STE 2, GOSHEN, IN 46526-4673
(574) 537-1625
(574) 537-9384
Mailing address
PO BOX 834, GOSHEN, IN 46527-0834
(574) 364-2592
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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