EASTGATE INTERNAL MEDICINE LTD
NPI 1750530473
Clinic/Center - Medical Specialty in Benton Harbor, MI

Active since September 18, 2008
1686 COLFAX AVE, BENTON HARBOR, MI 49022(269) 925-8842(269) 925-8847 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eastgate Internal Medicine Ltd NPPES

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

EASTGATE INTERNAL MEDICINE LTD (NPI 1750530473) is a healthcare organization registered as a medical specialty in Benton Harbor, Michigan and active in the NPI registry since September 2008. The organization lists Jegan Jabez, Owner, as its authorized official.

NPPES Registry Identity

NPI1750530473
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameEASTGATE INTERNAL MEDICINE LTD
Location Address1686 COLFAX AVEBenton Harbor, MI 49022-7355
Mailing Address8734 Valley View DrBerrien Springs, MI 49103-1617 · (269) 925-8842 · Fax (269) 925-8847
Fax(269) 925-8847
Organization SubpartNo
Authorized OfficialJegan JabezOwner · (269) 925-8842
Enumeration DateSeptember 18, 2008
NPI 1750530473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in MI · 4301064652
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1686 COLFAX AVE, Benton Harbor, MI 49022

Other Identifiers 6

Other4301064652MI · Michigan Medical License Number
Medicare UPINF53539MI
Other1101111252MI · Bluecross Blueshield Of Michigan
Medicaid415194310MI
Other1073694006Npi Number-type I
Medicare PIN0N19400MI

Other Providers at the Same Location NPPES

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

Internal Medicine
1686 COLFAX AVE
BENTON HARBOR, MI 49022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750530473, enumerated as an "organization" on September 18, 2008.

The provider is located at 1686 COLFAX AVE BENTON HARBOR, MI 49022 and the phone number is (269) 925-8842.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.