Organization
GOSHEN HEALTH SYSTEM INC
Active
Parent organization
GOSHEN PHYSICIANS
Other names
Jayco Family Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOSHEN PHYSICIANS
Authorized official
WILLIAM BORN (DIRECTOR)
(574) 364-2695
Entity
Organization
Contact information
Practice address
109 W US HWY 20, MIDDLEBURY, IN 46540-9202
(574) 825-4585
(574) 825-4586
Mailing address
109 W US HWY 20, MIDDLEBURY, IN 46540-9202
(574) 825-4585
(574) 825-4586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/13/2022
Last updated
06/05/2024
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