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ELKHART CLINIC ASC, LLC
NPI 1811992092
Clinic/Center - Ambulatory Surgical in Elkhart, IN

Active since June 15, 2005
2117 W LEXINGTON AVE, ELKHART, IN 46514(574) 296-3437(574) 296-3447 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elkhart Clinic Asc, Llc NPPES

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

ELKHART CLINIC ASC, LLC (NPI 1811992092) is a healthcare organization registered as an ambulatory surgical in Elkhart, Indiana and active in the NPI registry since June 2005. The organization lists Kevin R. Boyer, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1811992092
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameELKHART CLINIC ASC, LLC
Location Address2117 W LEXINGTON AVEElkhart, IN 46514-1423
Mailing AddressPo Box 2997Elkhart, IN 46515-2997 · (574) 296-3437 · Fax (574) 296-3447
Phone(574) 296-3437
Fax(574) 296-3447
Organization SubpartNo
Authorized OfficialKevin R. BoyerChief Executive Officer · (574) 296-3200
Enumeration DateJune 15, 2005
Last NPPES UpdateApril 29, 2014
✔ NPI 1811992092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in IN · 04-003903-1
2117 W LEXINGTON AVE, Elkhart, IN 46514
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Other Identifiers 2

Medicare PINZD5070IN
Medicaid200263270AIN

Other Providers at the Same Location NPPES 2

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

ELKHART CLINIC, LLC
Clinic/Center
2117 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 296-3444
PRIVIA MEDICAL GROUP INDIANA, LLC
Clinic/Center (Multi-Specialty)
2117 W LEXINGTON AVE
ELKHART, IN 46514
Elkhart County (574) 296-3444

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 Elkhart Clinic ASC, LLC's NPI number?

The NPI number for Elkhart Clinic ASC, LLC is 1811992092. It was assigned to this organization in the NPPES registry on June 15, 2005.

Where is Elkhart Clinic ASC, LLC located?

Elkhart Clinic ASC, LLC is located at 2117 W Lexington Ave, Elkhart, IN 46514. The listed phone number is (574) 296-3437.

What is Elkhart Clinic ASC, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Elkhart Clinic ASC, LLC was last updated on April 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.