Organization
GOSHEN HEALTH SYSTEM, INC
Active
Other names
Goshen Physicians, Goshen Physicians Family Medicine Syracuse
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN J YODER (VP)
(574) 364-2560
Entity
Organization
Contact information
Practice address
1033 N INDIANA AVE, SYRACUSE, IN 46567-1017
(574) 457-5701
(574) 457-5609
Mailing address
PO BOX 834, GOSHEN, IN 46527-0834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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