Organization
ELKHART COUNTY AUDITOR
Active
Other names
Elkhart County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DIANTHA HOSTETLER RN (NURSE MANAGER)
(574) 523-2136
Entity
Organization
Contact information
Practice address
608 OAKLAND AVE, ELKHART, IN 46516-2116
(574) 523-2105
(574) 295-6186
Mailing address
608 OAKLAND AVENUE, ELKHART, IN 46516
(574) 523-2105
(574) 295-6186
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
01056323A
IN
251K00000X
Public Health or Welfare Agency
Primary
01056323A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200402040A
—
IN
01
—
P00077758
RAILROAD MEDICARE
—
Enumeration date
05/09/2007
Last updated
01/18/2023
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