Occupational Health Centers Of The Southwest P.A.
Clinic/Center, Occupational Medicine in Goshen, IN. Organization (NPI-2).
NPI number1407342256
StatusActive
Last updated in NPPESJun 20, 2025
Details
- NPI
- 1407342256
- Entity type
- Organization (NPI-2)
- Legal business name
- Occupational Health Centers Of The Southwest P.A.
- Organization subpart
- No
- Enumeration date
- Jul 5, 2018
- Certification date
- Jun 20, 2025
- Last updated
- Jun 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QX0100X | Clinic/Center, Occupational Medicine | – | – | Yes |
| 261QH0100X | Clinic/Center, Health Services | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Practice location
2014 Lincolnway EGoshen, IN 46526-6818
Phone 574-537-1709
Mailing address
5080 Spectrum Dr Ste 1200wAddison, TX 75001-4624
Authorized official
Robert G Hassett
Vice President
9723648000
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