Organization
ELKHART COUNTY HEALTH DEPARTMENT
Active
Other names
Healthy Beginnings
Organization subpart
No
Provider details
NPI number
Authorized official
DIANTHA HOSTETLER (CLINICAL MANAGER)
(574) 523-2136
Entity
Organization
Contact information
Practice address
1400 HUDSON STREET, ELKHART, IN 46516
(574) 522-0104
(574) 522-1902
Mailing address
608 OAKLAND AVENUE, ELKHART, IN 46516
(574) 523-2105
(574) 295-6186
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112150A
—
IN
Enumeration date
04/16/2007
Last updated
04/03/2024
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