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NPI Code Detail

MEDICARE: ELKHART GENERAL HOSPITAL, INC.

MEDICARE: ELKHART GENERAL HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251F00000XHome Infusion Agency5301007051MI
2251F00000XHome Infusion Agency60005276AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000107217OTHERINANTHEM BCBS #

General Provider Information

NPI Number : 1003814815
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELKHART GENERAL HOSPITAL, INC.
Provider Business Mailing Address
First Line : 2020 INDUSTRIAL PKWY
Second Line :
City : ELKHART
State : IN
Zip : 46516-5411
Country : US
Telephone Number : 574-524-7582
Fax Number : 574-524-7597
Provider Business Practice Location Address
First Line : 2020 INDUSTRIAL PKWY
Second Line :
City : ELKHART
State : IN
Zip : 46516-5411
Country : US
Telephone Number : 574-524-7582
Fax Number : 574-524-7597
Authorized Official
Title or Position : DIRECTOR OF MANAGED CARE
Name : MR. C. JOHN KRAFT JR.
Credential :
Telephone Number : 574-523-7914
Provider Enumeration Date : 07/14/2005
Last Update Date : 04/22/2008

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Directions to “ELKHART GENERAL HOSPITAL, INC. ” Practice Location

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