Goshen Ambulatory Care Center Llc

LBN: Goshen Ambulatory Care Center Llc
Goshen Ambulatory Care Center Llc is an health care organization with primary practice located at 1605 Winsted Dr , Goshen IN 46526-4655. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Goshen Ambulatory Care Center Llc can be contacted via phone (574) 534-8794, or through Starnes, Deborah via phone (574) 534-8794.

Contact Information

Primary practice address
1605 Winsted Dr Goshen IN 46526-4655
Phone: (574) 534-8794
Fax: (574) 534-3082
Website:
Map and Directions
Authorized official contact:
Name: Starnes, Deborah
Phone: (574) 534-8794

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1043288111
LBN Legal business name Goshen Ambulatory Care Center Llc
DBA Doing business as
Authorized official Starnes, Deborah
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043288111 NPPES
Indiana Other 000000185275 ANTHEM BCBS
Indiana Other 490004601 ANTHEM BCBS
Indiana MEDICAID 200258140 ANTHEM BCBS

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