Organization
ELKHART GENERAL HOSPITAL INC
Active
Other names
Heart Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C. JOHN KRAFT JR. (DIRECTOR OF MANAGED CARE)
(574) 523-7914
Entity
Organization
Contact information
Practice address
600 EAST BLVD, HEART CLINIC, ELKHART, IN 46514-2483
(574) 523-2750
(574) 389-4875
Mailing address
PO BOX 660376, INDIANAPOLIS, IN 46266-0001
(574) 523-3148
(574) 523-3492
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
10-005017-1
IN
Other
Enumeration date
01/26/2010
Last updated
05/06/2010
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