Organization
HEART CITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESLEEN E FULTZ (CEO)
(574) 970-3257
Entity
Organization
Contact information
Practice address
236 SIMPSON AVE, ELKHART, IN 46516-4666
(574) 970-1435
(574) 970-3255
Mailing address
236 SIMPSON AVE, ELKHART, IN 46516-4666
(574) 970-7954
(574) 970-3255
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
IN
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097610A
—
IN
Enumeration date
05/23/2006
Last updated
04/20/2026
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