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Organization

ELKHART GENERAL HOSPITAL, INC.

Active
Parent organization
ELKHART GENERAL HOSPITAL, INC.
Other names
Elkhart General Home Care
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) 294-6181
(574) 293-8930
Mailing address
2020 INDUSTRIAL PKWY, ELKHART, IN 46516-5411
(574) 294-6181
(574) 293-8930

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5364
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100264210A
MEDICAID WAIVER#
IN
05
100265200A
IN
Enumeration date
05/07/2008
Last updated
05/07/2008
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