NPIMap

Organization Active NPI

Elkhart General Hospital, Inc.

Doing business as Elkhart General HIT Pharmacy

  • Home Infusion Agency
  • Elkhart, IN
National Provider Identifier
1003814815
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
60005276A Issued in IN
Legal business name
ELKHART GENERAL HOSPITAL, INC.
Doing business as
Elkhart General HIT Pharmacy
Practice address
2020 Industrial Pkwy
Elkhart, IN 46516-5411
Phone
(574) 524-7582
Fax
(574) 524-7597
NPI assigned
Jul 14, 2005
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ELKHART GENERAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. C. John Kraft Jr.
Title
Director of Managed Care
Phone
(574) 523-7914

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 60005276A IN Primary
Home Infusion Agency 251F00000X 5301007051 MI

Addresses

Primary practice location

2020 Industrial Pkwy
Elkhart, IN 46516-5411

Mailing address

2020 Industrial Pkwy
Elkhart, IN 46516-5411
Phone (574) 524-7582

Other identifiers 2

IdentifierTypeStateIssuer
000000107217OtherINANTHEM BCBS #
200432360AMedicaidIN

Other names 1

  • Elkhart General HIT Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elkhart General HSP Dba7 organizations share this tax ID, including this one
Part of
Elkhart General HSP Dba

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1003814815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 INDUSTRIAL PKWY",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465165411",
            "telephone_number": "574-524-7582",
            "fax_number": "574-524-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 INDUSTRIAL PKWY",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465165411",
            "telephone_number": "574-524-7582",
            "fax_number": "574-524-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHART GENERAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELKHART GENERAL HOSPITAL, INC.",
        "enumeration_date": "2005-07-14",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "574-523-7914",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "IN",
            "license": "60005276A",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "MI",
            "license": "5301007051",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS #",
            "identifier": "000000107217",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200432360A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elkhart General HIT Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.