Organization · NPI-2

U.S. Healthworks Medical Group Of Indiana, PC

Clinic/Center, Urgent Care · Elkhart, IN

NPI number1912458662

StatusActive

Last updated in NPPESOct 18, 2016

Details

NPI: 1912458662
Entity type: Organization (NPI-2)
Legal business name: U.S. Healthworks Medical Group Of Indiana, PC
Organization subpart: Yes
Enumeration date: Oct 18, 2016
Last updated: Oct 18, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QU0200X	Clinic/Center, Urgent Care	–	–	Yes
2083X0100X	Preventive Medicine, Occupational Medicine	–	–

Practice location

700 E Beardsley Ave
Suite100
Elkhart, IN 46514-3366

Phone 574-206-8010 · Fax 574-266-9438

Mailing address

25124 Springfield Ct
Suite 200
Valencia, CA 91355-1085

Phone 661-678-2600 · Fax 661-678-2700

Authorized official

Joseph T Mallas
President & Chief Executive Officer
6616782600

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