Organization
ELKHART GENERAL HOSPITAL INC
Active
Parent organization
ELKHART GENERAL HOSPITAL INC
Other names
MonaCare Health 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
1028 E WATERFORD ST, WAKARUSA, IN 46573-9305
(574) 862-7475
(574) 862-7759
Mailing address
1028 E WATERFORD ST, WAKARUSA, IN 46573-9305
(574) 862-7475
(574) 862-7759
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
08-005017-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-005017-1
STATE LICENSE
IN
Enumeration date
05/13/2008
Last updated
05/13/2008
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