Organization · Type 2 NPI

Privia Medical Group Indiana, LLC

Multi-Specialty Clinic/Center · Elkhart, IN

NPI number 1013912286 Active

Practice location

303 S Nappanee St
Elkhart, IN 46514-2066

Fax (574) 296-3392

Mailing address

PO Box 778985
Chicago, IL 60677-8985

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1013912286

Privia Medical Group Indiana, LLC's National Provider Identifier is 1013912286, issued on Jun 15, 2005. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Elkhart, IN. The record was last updated on Apr 17, 2025.