Elkhart General Hospital Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

06-005017-1 Issued in IN

Legal business name

ELKHART GENERAL HOSPITAL INC

Doing business as

New Directions Wellness Clinic

Practice address

600 East Blvd
Elkhart, IN 46514-2483

Phone

(574) 523-2750

Fax

(574) 389-4875

NPI assigned

Sep 20, 2006

Last updated

Dec 3, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

ELKHART GENERAL HOSPITAL, INC.As reported in NPPES

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 1

Addresses

Other identifiers 1

Other names 1

• New Directions Wellness Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Elkhart General Hospital, Inc.

  dba Elkhart General Women's Center

  • Specialist
  • Elkhart, IN
  • NPI 1376557785

  O20031213000004

  Same enrollment
• Elkhart General Hospital, Inc.

  • General Acute Care Hospital
  • Elkhart, IN
  • NPI 1477551489

  O20031213000004

  Same enrollment
• Elkhart General Hospital, Inc.

  dba Women's Center - Continence Clinic

  • Adult Medicine Physician
  • Elkhart, IN
  • NPI 1891922332

  O20031213000004

  Same enrollment

Part of

Elkhart General Hospita

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Genevieve A Lankowicz, MD

  • Family Medicine Physician
  • Elkhart, IN
  • NPI 1174522783
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1043317415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660376",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462660001",
            "telephone_number": "574-523-3148",
            "fax_number": "574-523-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142483",
            "telephone_number": "574-523-2750",
            "fax_number": "574-389-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHART GENERAL HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELKHART GENERAL HOSPITAL, INC.",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-12-03",
        "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": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "06-005017-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200450070A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Directions Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elkhart County Health Department
• Elkhart County Health Department
• Elkhart Day Surgery, LLC (Insight Surgery Center)
• Elkhart Dental Center PC
• Elkhart General Hospital Foundation, Inc. (Lifeline)
• Elkhart General Hospital Inc (Elkhart General Home Medical Equipment)
• Elkhart General Hospital Inc (Heart Clinic)
• Elkhart General Hospital, Inc (Elkhart General Home Care)
• Elkhart General Hospital, Inc. (Elkhart General HIT Pharmacy)
• Elkhart General Hospital, Inc. (Elkhart General Out Patient Pharmacy)

• Medical Specialty Clinic/Center in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Medical Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.