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Gsg Pride Healthcare LLC — NPI 1437622701, Pendleton, IN | NPI Central

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NPI 1437622701

OrganizationActive

Gsg Pride Healthcare LLC

NPI 1437622701 · Primary Care Clinic/Center · Pendleton, IN

Provider details

NPI number: 1437622701
Entity type: Organization
Primary specialty: Primary Care Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Taris Gonzalez, Nurse Practitioner/Owner(317) 743-0009

Specialties & taxonomies

Primary Care Clinic/CenterPrimary261QP2300X
Ambulatory Health Care Facilities
Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities

Practice location

8391 S Shady Trail Dr

Pendleton, IN 46064-8652

Phone: (317) 507-2395

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

8391 S Shady Trail Dr

Pendleton, IN 46064-8652

Other names (DBA / former)

Doing business as: Medical Practice
Doing business as: Medical Practice
Other name: Taris Gonzalez

Registry dates

Enumerated: 2019-01-09
Last updated: 2020-01-30
Certified: 2020-01-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.