Organization
ELKHART GENERAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY COSTELLO (CFO)
(574) 647-3460
Entity
Organization
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3200
(574) 523-3492
Mailing address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 294-2621
(574) 523-3492
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
05-005017-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100268340A
—
IN
Enumeration date
07/13/2005
Last updated
10/16/2024
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