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Organization

ELKHART GENERAL HOSPITAL, INC.

Active
Parent organization
ELKHART GENERAL HOSPITAL, INC.
Other names
Women's Center - Continence Clinic
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
600 EAST BLVD, WOMEN'S CENTER - CONTINENCE CLINIC, ELKHART, IN 46514-2483
(574) 523-2751
(574) 389-4840
Mailing address
PO BOX 1887, ELKHART GENERAL PHYSICIAN SERVICES, ELKHART, IN 46515-1887
(574) 389-0542
(574) 522-8505

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
09-005017-1
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100114000E
IN
Enumeration date
06/11/2009
Last updated
06/27/2011
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