Organization · Type 2 NPI

Elkhart General Hospital Inc

Medical Specialty Clinic/Center · Elkhart, IN

NPI number 1043317415 Active

Practice location

600 East Blvd
Elkhart, IN 46514-2483

Call (574) 523-2750 Map

Fax (574) 389-4875

Mailing address

PO Box 660376
Indianapolis, IN 46266-0001

Specialties and licenses

Taxonomy	Code	License
Medical Specialty Clinic/Center Primary	261QM2500X	06-005017-1 (IN)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

148 other providers at this address

NPI record

NPI: 1043317415
Entity type: Organization (Type 2)
Issued: Sep 20, 2006
Last updated: Dec 3, 2009
Status: Active
Subpart: Yes of Elkhart General Hospital, Inc.

Other names

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New Directions Wellness Clinic · doing business as

Authorized official

Mr. C. John Kraft
Director of Managed Care
(574) 523-7914

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043317415

Elkhart General Hospital Inc's National Provider Identifier is 1043317415, issued on Sep 20, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Elkhart, IN. The record was last updated on Dec 3, 2009.