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General NPI Number Information
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NPI Number | 1477551489
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Entity Type | Organization
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Legal Business Name | ELKHART GENERAL HOSPITAL, INC.
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 600 EAST BLVD
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City | ELKHART
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State | IN
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Zip | 46514-2483
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Country | US
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Telephone | 574-523-3200
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Fax | 574-523-3492
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Provider Business Mailing Address
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Address Line | 600 EAST BLVD
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City | ELKHART
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State | IN
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Zip | 46514-2483
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Country | US
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Telephone | 574-294-2621
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Fax | 574-523-3492
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Authorized Official
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Title or Position | CFO
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Name | MR. JEFFREY COSTELLO
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Credential |
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Telephone | 574-647-3460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 05-005017-1
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License Number State | IN
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