Elkhart County Health Department

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

ELKHART COUNTY HEALTH DEPARTMENT

Practice address

1400 Hudson Street
Elkhart, IN 46516

Phone

(574) 522-0104

Fax

(574) 522-1902

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Aixsa Perez, MD

Title

Health Officer

Phone

(574) 523-2105

Specialties & licenses 1

Addresses

Other names 1

• Healthy Beginnings Other name

Tax ID family

Elkhart County Health Department3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Elkhart County Auditor

  • Public Health or Welfare Agency
  • Elkhart, IN
  • NPI 1568844777
  NPD tax ID
• Elkhart County Health Department

  • Pediatric Dentistry
  • Elkhart, IN
  • NPI 1659596336
  NPD tax ID

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1184843351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 OAKLAND AVENUE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "46516",
            "telephone_number": "574-523-2105",
            "fax_number": "574-295-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HUDSON STREET",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "46516",
            "telephone_number": "574-522-0104",
            "fax_number": "574-522-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHART COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "AIXSA",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "574-523-2105",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Beginnings",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elkhart Clinic ASC, LLC
• Elkhart Clinic, LLC
• Elkhart Community Schools
• Elkhart County Auditor
• Elkhart County Auditor
• Elkhart County Health Department
• Elkhart Day Surgery, LLC
• Elkhart Dental Center PC
• Elkhart General Hospital Foundation, Inc.
• Elkhart General Hospital Inc

• Case Manager/Care Coordinator in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Case Manager/Care Coordinator in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.