Organization
ELKHART GENERAL HOSPITAL, INC.
Active
Organization
ELKHART GENERAL HOSPITAL, INC.
Active
Parent organization
ELKHART GENERAL HOSPITAL, INC.
Other names
Center for Behavioral Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELKHART GENERAL HOSPITAL, INC.
Authorized official
MR. JEFFREY COSTELLO (CFO)
(574) 674-3460
Entity
Organization
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3200
(574) 389-4860
Mailing address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 942-6212
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
05-005017-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100268340A
—
IN
Enumeration date
07/13/2005
Last updated
12/01/2022
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