MEDICARE: ELKHART COUNTY AUDITOR

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
1	251B00000X	Case Management Agency	01056323A	IN
2	251K00000X	Public Health or Welfare Agency	01056323A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00077758	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811101223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELKHART COUNTY AUDITOR

Provider Business Mailing Address
First Line	:	608 OAKLAND AVENUE
Second Line	:
City	:	ELKHART
State	:	IN
Zip	:	46516
Country	:	US
Telephone Number	:	574-523-2105
Fax Number	:	574-295-6186

Provider Business Practice Location Address
First Line	:	608 OAKLAND AVE
Second Line	:
City	:	ELKHART
State	:	IN
Zip	:	46516-2116
Country	:	US
Telephone Number	:	574-523-2105
Fax Number	:	574-295-6186

Authorized Official
Title or Position	:	NURSE MANAGER
Name	:	DIANTHA HOSTETLER
Credential	:	RN
Telephone Number	:	574-523-2136

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	01/18/2023

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Directions to “ELKHART COUNTY AUDITOR ” Practice Location

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