| Privia Medical Group Indiana, Llc | |
|
25651 County Road 20 Elkhart IN 46517-2310 | |
| (574) 522-1201 | |
| Not Available |
| Full Name | Privia Medical Group Indiana, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 25651 County Road 20, Elkhart, Indiana |
| Authorized Official Name and Position | Kevin R Boyer (CEO) |
| Authorized Official Contact | 5742963254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Privia Medical Group Indiana, Llc 303 S Nappanee St Elkhart IN 46514-2066 Ph: (574) 296-3200 | Privia Medical Group Indiana, Llc 25651 County Road 20 Elkhart IN 46517-2310 Ph: (574) 522-1201 |
| NPI Number | 1730638990 |
|---|---|
| Provider Enumeration Date | 09/29/2016 |
| Last Update Date | 05/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730638990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Heart City Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-970-1441 Fax: 574-970-1449 | |
Privia Medical Group Indiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3200 Fax: 574-296-3392 | |
Elkhart Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2117 W Lexington Ave, Elkhart, IN 46514 Phone: 574-296-3444 Fax: 574-296-3328 | |
Privia Medical Group Indiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2222 W Lexington Ave, Suite B, Elkhart, IN 46514 Phone: 574-296-3200 Fax: 574-296-3392 | |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 W Beardsley Ave, Elkhart, IN 46514 Phone: 773-697-3144 | |
Beacon Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1506 Osolo Rd Ste C, Elkhart, IN 46514 Phone: 574-266-6050 Fax: 574-262-8485 | |
Smr Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28070 County Road 24, Elkhart, IN 46517 Phone: 574-273-8053 Fax: 574-273-8056 |