Privia Medical Group Indiana, LLC

Organization Active
NPI 1851497945
Multi-Specialty Clinic/Center Mishawaka, IN

NPI 1851497945 belongs to Privia Medical Group Indiana, LLC, a multi-specialty clinic/center with a practice location in Mishawaka, IN. The NPI was issued on September 15, 2006, and the record was last updated in NPPES on May 12, 2025. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X Not listed
Family Medicine Physician 207Q00000X Not listed

Practice location

410 Park Pl Ste A
Mishawaka, IN 46545-3557
Phone: (574) 252-0667

Local context

Active NPPES records list 11 providers with multi-specialty clinic/center as the primary taxonomy within 25 miles of this practice location's ZIP code, 5 of them within 10 miles.

The same primary taxonomy is listed by 122 in Indiana and 11,402 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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