Goshen Health System Inc
Organization Active NPI Family Medicine Physician · Goshen, IN
NPI 1194772293 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1194772293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- GOSHEN HEALTH SYSTEM INC
- Practice address
- 1701 S Main St
Goshen, IN 46526-4723 - Phone
- (574) 364-2592
- NPI assigned
- May 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Randal Christophel
- Title
- Ceo
- Phone
- (574) 364-2663
Other NPIs on the same Medicare enrollment 1
Practitioners 173
-
Bolanle Adeola Adepoju, M.D.
-
Rene Alonzo, MD
-
Marie Bennion, FNP-BC
-
Daniel J Berger, MD
-
Muhammad B Bostaji, M.D.
-
Charles W Bower, MD
-
Bryan Boyer, M.D.
-
Eric Brown, FNP-C
-
Hannah Brundage, DO
-
David L Coil, D.O
-
Savita P Collins, MD
-
Kendall Morgan Coney, RDN
-
Grace Catherine Darnell, MSN, NP-C, RN
-
Ruth Fisher, NP
-
Sheila M Fleming, NP
-
Tracy Ford, FNP
-
Tricia K Foster, DO
-
Edith A Fraire, MSN, RN, FNP-BC
-
Anthony R. Gauthier, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031124000658 | IN | Part B Supplier - Clinic/Group Practice | 4880598572 |
Receives reassigned benefits from 143 practitioners 1 other NPI on this enrollment Practice locations: Milford, IN; Goshen, IN; Middlebury, IN; Ligonier, IN; Lagrange, IN; Nappanee, IN; New Paris, IN; North Webster, IN… |
National Provider Directory
Locations
301 S Main St
Algonquin, IL 60102
306 E Vistula St
Bristol, IN 46507
Phone (219) 266-9840
851 Parkway Ave
#17
Elkhart, IN 46516
Phone (574) 364-2875
2606 Peddlers Village Rd
Ste 215
Goshen, IN 46526
Phone (574) 534-1135
1122 Professional Dr
Goshen, IN 46526
Phone (574) 533-0348
2024 Dorchester Ct
Goshen, IN 46526
1852 Ashburn Dr
Goshen, IN 46526
Phone (574) 533-5808
2018 S Main St
Goshen, IN 46526
2006 S Main St
#B
Goshen, IN 46526
Phone (574) 537-5060
1721 S Main St
Fl 4
Goshen, IN 46526
Phone (219) 534-6752
1814 Charlton Ct
Goshen, IN 46526
Phone (574) 533-4169
1814 Charlton Ct
Ste B
Goshen, IN 46526
Phone (574) 533-2599
2014 S Main St
Ste B
Goshen, IN 46526
Phone (574) 533-8639
1150 Lincolnway S
Ligonier, IN 46767
Phone (260) 894-7135
1953 Waterfall Dr
#A
Nappanee, IN 46550
Phone (574) 773-4101
301 S Main St
North Webster, IN 46555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | IN | Yes | |
| Internal Medicine Physician |
207R00000X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Magnetic Resonance Imaging (MRI) Internal Medicine Physician |
207RM1200X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Pediatrics Physician |
208000000X | |||
| Surgery Physician |
208600000X | |||
| Rural Health Clinic/Center | 261QR1300X | 15-3893 | IN | |
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1701 S Main St
Goshen, IN 46526-4723
Mailing address
PO Box 834
Goshen, IN 46527-0834
Phone (574) 364-2592
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200528220 | Medicaid | IN | |
| 200154600 | Medicaid | IN | |
| 100114010 | Medicaid | IN | |
| 201388930 | Medicaid | IN |
Other providers in Goshen, IN
- Goshen Family Physicians
- Goshen Health Centers, Inc.
- Goshen Health Centers, Inc.
- Goshen Health Surgery Center, LLC
- Goshen Health System Inc
- Goshen Health System Inc
- Goshen Health System Inc
- Goshen Health System Inc
- Goshen Health System Inc
- Goshen Health System Inc
All providers in Goshen, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.