Organization Name: | ELKHART GENERAL HOSPITAL, INC. |
NPI Number: | 1003814815 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | C. JOHN KRAFT (DIRECTOR OF MANAGED CARE) |
Mailing Address: | 2020 Industrial Pkwy Elkhart |
State: | IN US |
Postal Code: | 465165411 |
Phone Number: | 5745247582 |
Fax Number: | 5745247597 |
NPI Enumeration Date: | 07/14/2005 |
NPI Last Update Date: | 04/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | 5301007051 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |