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ELKHART CLINIC ASC, LLC

Surgery Yellow Pages

Elkhart, Indiana

Provider NPI: 1811992092

Organization Information:
Organization Name:  ELKHART CLINIC ASC, LLC


Practice Location:
2117 W LEXINGTON AVE  ELKHART, IN 46514 US
Tel: 574-296-3437  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
IN04-003903-1

Other Provider Identifiers:

IssuerNumberStateType
200263270AIN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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