NPIMap

Organization Active NPI

Elkhart General Hospital, Inc.

Doing business as Quality Care Pediatrics

  • Pediatrics Physician
  • Granger, IN
National Provider Identifier
1497905897
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01050228A Issued in IN
Legal business name
ELKHART GENERAL HOSPITAL, INC.
Doing business as
Quality Care Pediatrics
Practice address
6910 N Main St
Unit #34
Granger, IN 46530-9680
Phone
(574) 277-7860
Fax
(574) 277-7861
NPI assigned
Sep 23, 2008
Last updated
Sep 23, 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 Sep 23, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 01050228A IN Primary

Addresses

Primary practice location

6910 N Main St
Unit #34
Granger, IN 46530-9680

Mailing address

6910 N Main St
Unit #34
Granger, IN 46530-9680
Phone (574) 277-7860

Other names 1

  • Quality Care Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elkhart General Hospita7 organizations share this tax ID, including this one
Part of
Elkhart General Hospita

Other organizations with this tax ID 6

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

Locations

6910 N Main St
Unit 34
Granger, IN 46530
Phone (574) 277-7860

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1497905897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 N MAIN ST",
            "address_2": "UNIT #34",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309680",
            "telephone_number": "574-277-7860",
            "fax_number": "574-277-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 N MAIN ST",
            "address_2": "UNIT #34",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309680",
            "telephone_number": "574-277-7860",
            "fax_number": "574-277-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHART GENERAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELKHART GENERAL HOSPITAL, INC.",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "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": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01050228A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Care Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granger, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.