Organization
GOSHEN HEALTH SYSTEM INC
Active
Other names
Jayco Occupational Medicine Onsite Clinic, Goshen Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN J YODER (VP)
(574) 364-2560
Entity
Organization
Contact information
Practice address
903 S MAIN ST, MIDDLEBURY, IN 46540-8529
(574) 825-0590
(574) 825-0603
Mailing address
903 S MAIN ST, MIDDLEBURY, IN 46540-8529
(574) 825-0590
(574) 825-0603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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