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COMMUNITY OCCUPATIONAL MEDICINE NPI 1578695250


NPI Information

NPI: 1578695250
Provider Name: COMMUNITY OCCUPATIONAL MEDICINE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
22818 OLD US 20
ELKHART, IN
ZIP 46516
Phone: (574) 389-1231
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COMMUNITY OCCUPATIONAL MEDICINE is a clinic center in Elkhart, IN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COMMUNITY OCCUPATIONAL MEDICINE NPI is 1578695250. 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 Kim J. Nymeyer .
The authorized official title is Operations Manager and has the following contact phone number (574) 389-1231.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/22/2020.


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
1261Q00000XClinic/CenterYes

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

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