Privia Medical Group Indiana, LLC
Privia Medical Group Indiana, LLC is a Multi-Specialty Clinic/Center in Elkhart, Indiana. Licensed in Indiana. Registered with an NPI since 2005.
- Licensed in
- IN
- In the registry since
- 2005
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
303 S Nappanee StElkhart, IN 46514-2066
Phone: (574) 296-3200
Fax: (574) 296-3392
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X (IN) |
|---|
Record details
| NPI number | 1013912286 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Vandergrift — Chief Executive Administrator · (574) 296-3200 |
| NPI enumerated | June 15, 2005 |
| Last updated in NPPES | April 17, 2025 |
| Certification date | April 17, 2025 |
| Mailing address | Po Box 778985, Chicago, IL 60677-8985 |
Other providers in Elkhart
-
Privia Medical Group Indiana, LLC
2222 W Lexington Ave Ste B, Elkhart, IN 46514-1420 · (574) 296-3200
-
Privia Medical Group Indiana, LLC
2117 W Lexington Ave, Elkhart, IN 46514-1423 · (574) 296-3444
-
Privia Medical Group Indiana, LLC
25651 County Road 20, Elkhart, IN 46517-2310 · (574) 522-1201