Organization
GOSHEN HEALTH SYSTEM INC
Active
Parent organization
GOSHEN HEALTH SYSTEM INC.
Other names
Goshen Physicians Diagnostics
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOSHEN HEALTH SYSTEM INC.
Authorized official
RICHARD TARSKE (VICE PRESIDENT)
(574) 364-2875
Entity
Organization
Contact information
Practice address
1824 DORCHESTER CT, GOSHEN, IN 46526
(574) 534-2548
(574) 534-3622
Mailing address
2004 ELKHART ROAD, STE A, GOSHEN, IN 46526
(574) 364-2611
(574) 364-2784
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
05/07/2019
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