ELKHART CLINIC LLC NPI 1255580262

NPI Information

NPI: 1255580262
Provider Name: ELKHART CLINIC, LLC

Doing Business As: BEST FOOT & ANKLE CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1755 FULTON ST
SUITE B
ELKHART, IN
ZIP 46514
Phone: (574) 266-4555
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ELKHART CLINIC, LLC is a multi-specialty clinic center in Elkhart, IN. ELKHART CLINIC, LLC NPI is 1255580262. The provider is registered as an organization entity type.
The provider Is Doing Business As Best Foot & Ankle Center.

The provider's business location address is:

1755 FULTON ST
SUITE B
ELKHART, IN
ZIP 46514-927
Phone: (574) 266-4555
Fax: (574) 266-1315

The provider's authorized official is Kevin R. Boyer .
The authorized official title is Chief Executive Officer and has the following contact phone number (574) 296-3200.

The enumeration date for this NPI number is 9/15/2008 and was last updated on 10/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100466600F	MEDICAID	INDIANA
2	0359310003	OTHER	INDIANA	DMERC PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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