Organization Active NPI

Elkhart General Hospital Inc

  • Durable Medical Equipment & Medical Supplies
  • Elkhart, IN
National Provider Identifier
1750389680
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELKHART GENERAL HOSPITAL INC
Doing business as
Elkhart General Home Medical Equipment
Practice address
225 E Jackson Blvd
Elkhart, IN 46516-3543
Phone
(574) 523-3100
Fax
(574) 522-2308
NPI assigned
Jul 13, 2005
Organization subpart
Yes
Parent organization
ELKHART GENERAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 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
Durable Medical Equipment & Medical Supplies 332B00000X IN Primary

Addresses

Primary practice location

225 E Jackson Blvd
Elkhart, IN 46516-3543

Mailing address

225 E Jackson Blvd
Elkhart, IN 46516-3543
Phone (574) 523-3100

Other identifiers 1

IdentifierTypeStateIssuer
000000110711OtherINANTHEM BCBS#

Other names 1

  • Elkhart General Home Medical Equipment Doing business as

National Provider Directory

National Provider Directory
Part of
Elkhart General Hos Osc

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1750389680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163543",
            "telephone_number": "574-523-3100",
            "fax_number": "574-522-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E JACKSON BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163543",
            "telephone_number": "574-523-3100",
            "fax_number": "574-522-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHART GENERAL HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELKHART GENERAL HOSPITAL, INC.",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-02-26",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS#",
            "identifier": "000000110711",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elkhart General Home Medical Equipment",
            "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 Feb 26, 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.