Active NPI
Goshen Health Centers, Inc.
- Federally Qualified Health Center (FQHC)
- Goshen, IN
National Provider Identifier
1396695375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- GOSHEN HEALTH CENTERS, INC.
- Practice address
- 200 High Park Ave
Goshen, IN 46526-4810 - Phone
- (574) 364-2476
- Fax
- (574) 364-2690
- NPI assigned
- Jan 30, 2026
- Last updated
- Jan 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyla Wolferman
- Title
- Executive Director
- Phone
- (574) 364-2338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
200 High Park Ave
Goshen, IN 46526-4810
Mailing address
200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-2476
National Provider Directory
National Provider Directory- Tax ID family
- Goshen Health Centers Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Goshen, IN
- NPI 1831049824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769731200000",
"number": "1396695375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HIGH PARK AVE",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465264810",
"telephone_number": "574-364-2476",
"fax_number": "574-364-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HIGH PARK AVE",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465264810",
"telephone_number": "574-364-2476",
"fax_number": "574-364-2690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOSHEN HEALTH CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-30",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A",
"authorized_official_last_name": "WOLFERMAN",
"authorized_official_first_name": "KYLA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "574-364-2338"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, IN
- Goshen City Behavioral Health LLC
- Goshen Community Schools
- Goshen Cosmetic and Advanced Family Dentistry PC (Stutsman Dentistry)
- Goshen Family & Cosmetic Dentistry, Inc (Goshen Family Dentistry)
- Goshen Family Physicians
- Goshen Health Centers, Inc.
- Goshen Health Surgery Center, LLC
- Goshen Health System Inc (Goshen Physicians)
- Goshen Health System Inc
- Goshen Health System Inc (Goshen Physicians)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.