Organization
GOSHEN HEALTH SYSTEM, INC
Active
Parent organization
GOSHEN PHYSICIANS
Other names
Middlebury Community Schools Onsite Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOSHEN PHYSICIANS
Authorized official
JONATHAN J YODER (VICE PRESIDENT)
(574) 364-2560
Entity
Organization
Contact information
Practice address
56853 NORTHRIDGE DR, MIDDLEBURY, IN 46540-9536
(574) 825-2211
(574) 825-2212
Mailing address
56853 NORTHRIDGE DR, MIDDLEBURY, IN 46540-9536
(574) 825-2211
(574) 825-2212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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