OrganizationActive
Privia Medical Group Indiana, LLC
NPI 1215567003 · Multi-Specialty Clinic/Center · Elkhart, IN
Provider details
- NPI number
- 1215567003
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Elkhart Clinic, LLC
- Authorized official
- Timothy Porsche, Managing Partner
Practice location
2117 W Lexington Ave
Elkhart, IN 46514-1423
Phone: (574) 296-3444
Fax: (574) 296-3328
Mailing address
Po Box 2968
Elkhart, IN 46515-2968
Registry dates
- Enumerated
- 2020-01-21
- Last updated
- 2025-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.