| Heritage Family Medicine, Llc | |
|
111 N Elkhart St Wakarusa IN 46573-2006 | |
| (574) 900-1991 | |
| (574) 900-1193 |
| Full Name | Heritage Family Medicine, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 111 N Elkhart St, Wakarusa, Indiana |
| Authorized Official Name and Position | Beth Ann Lockwood (OWNER) |
| Authorized Official Contact | 5742480630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Family Medicine, Llc Po Box 106 Wakarusa IN 46573-0106 Ph: (574) 900-1191 | Heritage Family Medicine, Llc 111 N Elkhart St Wakarusa IN 46573-2006 Ph: (574) 900-1991 |
| NPI Number | 1982460531 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982460531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Goshen Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 E Waterford St, Wakarusa, IN 46573 Phone: 574-862-2015 Fax: 574-862-2016 |