Organization · Type 2 NPI

Privia Medical Group Indiana, LLC

Multi-Specialty Clinic/Center · Elkhart, IN

NPI number 1215567003 Active

Practice location

2117 W Lexington Ave
Elkhart, IN 46514-1423

Call (574) 296-3444 Map

Fax (574) 296-3328

Mailing address

PO Box 2968
Elkhart, IN 46515-2968

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

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

3 other providers at this address

American Oncology Partners, P.a.Hematology & Oncology Physician Elkhart, IN NPI 1255248613
Elkhart Clinic Asc, LLCAmbulatory Surgical Clinic/Center Elkhart, IN NPI 1811992092
Elkhart Clinic, LLCClinic/Center Elkhart, IN NPI 1073181335

Other multi-specialty clinic/center providers in Elkhart

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NPI record

NPI: 1215567003
Entity type: Organization (Type 2)
Issued: Jan 21, 2020
Last updated: May 12, 2025
Status: Active
Subpart: Yes of Elkhart Clinic, LLC

Other names

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Elkhart Clinic Hematology and Oncology · other name
Elkhart Clinic Hematology and Oncology · other name

Authorized official

Timothy Porsche, MD
Managing Partner
(574) 296-3200

Verify this record

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About NPI 1215567003

Privia Medical Group Indiana, LLC's National Provider Identifier is 1215567003, issued on Jan 21, 2020. 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 May 12, 2025.