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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
1251E00000XHome Health Agency5364IN

General Provider Information

NPI Number : 1538167465
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 : 574-294-6181
Fax Number : 574-293-8930
Provider Business Practice Location Address
First Line : 2020 INDUSTRIAL PKWY
Second Line :
City : ELKHART
State : IN
Zip : 46516-5411
Country : US
Telephone Number : 574-294-6181
Fax Number : 574-293-8930
Authorized Official
Title or Position : DIRECTOR OF MANAGED CARE
Name : MR. C JOHN KRAFT JR.
Credential :
Telephone Number : 574-523-7914
Provider Enumeration Date : 07/13/2005
Last Update Date : 02/15/2008

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Directions to “ELKHART GENERAL HOSPITAL, INC ” Practice Location

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