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NPI Code Detail

MEDICARE: NORTHERN INDIANA HEALTH CENTER

MEDICARE: NORTHERN INDIANA HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianIN
2111N00000XChiropractorIN
3363A00000XPhysician AssistantIN
4225100000XPhysical TherapistIN

General Provider Information

NPI Number : 1508863846
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHERN INDIANA HEALTH CENTER
Provider Business Mailing Address
First Line : 640 INDUSTRIAL PKWY
Second Line :
City : ELKHART
State : IN
Zip : 46516-5414
Country : US
Telephone Number : 574-522-7203
Fax Number :
Provider Business Practice Location Address
First Line : 640 INDUSTRIAL PKWY
Second Line :
City : ELKHART
State : IN
Zip : 46516-5414
Country : US
Telephone Number : 574-522-7203
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BENOIT O CHOINIERE
Credential :
Telephone Number : 574-522-7203
Provider Enumeration Date : 07/01/2005
Last Update Date : 09/11/2025

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Directions to “NORTHERN INDIANA HEALTH CENTER ” Practice Location

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