Elkhart Clinic Asc, LLC

NPI #1811992092 in Elkhart, Indiana

Provider Information

NPI Number: 1811992092
Entity Type: Organization
Organization Name: Elkhart Clinic Asc, LLC
Primary Specialty: Clinic/Center - Ambulatory Surgical
Enumeration Date: Jun 15, 2005
Last Updated: Apr 29, 2014

Practice Location

Address: 2117 W LEXINGTON AVE
City: Elkhart
State: Indiana
ZIP Code: 46514-1423
Phone: (574) 296-3437

Authorized Official

Name: MR. KEVIN R. BOYER
Title: CHIEF EXECUTIVE OFFICER
Phone: (574) 296-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical	261QA1903X	Primary

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