COMMUNITY OCCUPATIONAL MEDICINE LLC NPI 1902269889

NPI Information

NPI: 1902269889
Provider Name: COMMUNITY OCCUPATIONAL MEDICINE, LLC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
22818 OLD US 20
ELKHART, IN
ZIP 46516
Phone: (574) 389-1231
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COMMUNITY OCCUPATIONAL MEDICINE, LLC is an occupational medicine clinic center in Elkhart, IN. COMMUNITY OCCUPATIONAL MEDICINE, LLC NPI is 1902269889. The provider is registered as an organization entity type.

The provider's business location address is:

22818 OLD US 20
ELKHART, IN
ZIP 46516-150
Phone: (574) 389-1231
Fax: (574) 389-1232

The provider's authorized official is Aimee Weiss .
The authorized official title is Practice Manager and has the following contact phone number (574) 389-1231.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 3/30/2016.

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	261QX0100X	Clinic/Center	Occupational Medicine	28193462A	INDIANA	Yes

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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