Goshen Surgical Associates, Inc.

LBN: Goshen Surgical Associates, Inc.
Goshen Surgical Associates, Inc. is an health care organization with primary practice located at 101 Marilyn Ave Suite 4, Goshen IN 46526-4800. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty. Goshen Surgical Associates, Inc. can be contacted via phone (574) 533-2769, or through Harley, John W via phone (574) 533-2769.

Contact Information

Primary practice address
101 Marilyn Ave Suite 4 Goshen IN 46526-4800
Phone: (574) 533-2769
Fax: (574) 534-6822
Website:
Map and Directions
Authorized official contact:
Name: Harley, John W Doctor of Medicine (MD)
Phone: (574) 533-2769

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 50001564A Indiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 50001564A Indiana

Profile Details

NPI number 1093823908
LBN Legal business name Goshen Surgical Associates, Inc.
DBA Doing business as
Authorized official Harley, John W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Jan 24th, 2011 - about 15 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 1093823908 NPPES
Indiana MEDICAID 100384730

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