Organization
ELKHART GENERAL HOSPITAL INC
Active
Parent organization
ELKHART GENERAL HOSPITAL, INC.
Other names
New Directions Wellness Clinic
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
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-2750
(574) 389-4875
Mailing address
PO BOX 660376, INDIANAPOLIS, IN 46266-0001
(574) 523-3148
(574) 523-3492
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
06-005017-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200450070A
—
IN
Enumeration date
09/20/2006
Last updated
12/03/2009
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