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NORTH CENTRAL INDIANA MEDICAL CLINIC LLC
NPI 1730713017
Obstetrics & Gynecology - Gynecology in Milford, IN

Active since February 26, 2020CLIA Certified · 2 labs
112 S MAIN ST, MILFORD, IN 46542(574) 832-6246 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2020, Mar 19, 2020, Feb 26, 2020 (3 updates tracked since 2020).

About North Central Indiana Medical Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH CENTRAL INDIANA MEDICAL CLINIC LLC (NPI 1730713017) is a healthcare organization registered as a gynecology in Milford, Indiana and active in the NPI registry since February 2020. The organization holds 2 active CLIA laboratory certificates and lists Michelle Wilson, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1730713017
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameNORTH CENTRAL INDIANA MEDICAL CLINIC LLC
Location Address112 S MAIN STMilford, IN 46542-3006
Mailing AddressPo Box 247Milford, IN 46542-0247 · (574) 832-6246 · Fax (574) 832-2011
Phone(574) 832-6246
Organization SubpartNo
Authorized OfficialMichelle WilsonPractice Manager · (574) 832-6246
Enumeration DateFebruary 26, 2020
Last NPPES UpdateAugust 6, 20203 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
✔ NPI 1730713017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
112 S MAIN ST, Milford, IN 46542
Open in Google Maps ↗

Other Identifiers 1

Other1902-89-0718IN · Ob/gyn

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2180277

North Central Indiana Medical Clinic · Milford, IN
Active · expires Mar 10, 2028
CLIA Number15D2180277
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorGayle Borkowski
Laboratory Phone(514) 832-6246
Laboratory LocationNorth Central Indiana Medical Clinic112 S Main St, Milford, IN 46542
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2275822

North Central Indiana Medical Clinic LLC · Topeka, IN
Active · expires Jan 29, 2027
CLIA Number15D2275822
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorGayle Borkowski
Laboratory Phone(574) 832-6246
Laboratory LocationNorth Central Indiana Medical Clinic LLC128 Roy Street, Topeka, IN 46571
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RACHELLE L CROWDER MD
Family Medicine
112 S MAIN ST
MILFORD, IN 46542
Kosciusko County (574) 832-6246
MICHELLE WILSON CST, CSFA
Specialist/Technologist, Other (Surgical Assistant)
112 S MAIN ST
MILFORD, IN 46542
Kosciusko County (574) 832-6246
MRS. KIMBERLY ANN SENDERS RN-BSN, NP
Nurse Practitioner (Family)
112 S MAIN ST
MILFORD, IN 46542
Kosciusko County (574) 832-6246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Central Indiana Medical Clinic LLC's NPI number?

The NPI number for North Central Indiana Medical Clinic LLC is 1730713017. It was assigned to this organization in the NPPES registry on February 26, 2020.

Where is North Central Indiana Medical Clinic LLC located?

North Central Indiana Medical Clinic LLC is located at 112 S Main St, Milford, IN 46542. The listed phone number is (574) 832-6246.

What is North Central Indiana Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does North Central Indiana Medical Clinic LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for North Central Indiana Medical Clinic LLC was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.