Organization
ELKHART GENERAL HOSPITAL INC
Active
Parent organization
ELKHART GENERAL HOSPITAL, INC.
Other names
Elkhart General Home Medical Equipment
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
225 E JACKSON BLVD, ELKHART, IN 46516-3543
(574) 523-3100
(574) 522-2308
Mailing address
225 E JACKSON BLVD, ELKHART, IN 46516-3543
(574) 523-3100
(574) 522-2308
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000110711
ANTHEM BCBS#
IN
Enumeration date
07/13/2005
Last updated
02/26/2008
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