Organization
ELKHART GENERAL HOSPITAL, INC.
Active
Parent organization
ELKHART GENERAL HOSPITAL, INC.
Other names
Elkhart General HIT Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELKHART GENERAL HOSPITAL, INC.
Authorized official
MR. C. JOHN KRAFT JR. (DIRECTOR OF MANAGED CARE)
(574) 523-7914
Entity
Organization
Contact information
Practice address
2020 INDUSTRIAL PKWY, ELKHART, IN 46516-5411
(574) 524-7582
(574) 524-7597
Mailing address
2020 INDUSTRIAL PKWY, ELKHART, IN 46516-5411
(574) 524-7582
(574) 524-7597
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
5301007051
MI
251F00000X
Home Infusion Agency
Primary
60005276A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000107217
ANTHEM BCBS #
IN
05
—
200432360A
—
IN
Enumeration date
07/14/2005
Last updated
04/22/2008
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