# ELKHART GENERAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ELKHART GENERAL HOSPITAL INC
- **Other names:** MonaCare Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528235140
- **Legal business name:** ELKHART GENERAL HOSPITAL INC
- **Authorized official:** MR. C. JOHN KRAFT JR. (DIRECTOR OF MANAGED CARE)
- **Authorized official phone:** (574) 523-7914

## Contact information

- **Practice address:** 1028 E WATERFORD ST, WAKARUSA, IN 46573-9305
- **Practice address phone:** (574) 862-7475
- **Practice address fax:** (574) 862-7759
- **Mailing address:** 1028 E WATERFORD ST, WAKARUSA, IN 46573-9305
- **Mailing address phone:** (574) 862-7475
- **Mailing address fax:** (574) 862-7759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | 08-005017-1 | IN | Yes |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 05/13/2008