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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRIVIA MEDICAL GROUP INDIANA, LLC

Active Organization

PRIVIA MEDICAL GROUP INDIANA, LLC is a Multi-Specialty Clinic organization located in MISHAWAKA, Indiana. NPI 1851497945 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · MISHAWAKA, IN

Registration Details

NPI Number
1851497945
Provider Type
Organization
NPI Issued
Sep 15, 2006 (19.910656446756 yrs)
Last Updated
May 12, 2025

Practice Information

Address
410 PARK PL STE A
MISHAWAKA, IN, 465453557
Browse IN providers · Browse ZIP 46545
Phone
5742520667
Fax
5748078845
Primary Specialty
Multi-Specialty Clinic
261QM1300X
Additional Specialty
Multi-Specialty Clinic

Other Multi-Specialty Clinic Organizations in MISHAWAKA, IN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.