Active NPI
Elkhart General Hospital Inc
- Durable Medical Equipment & Medical Supplies
- Elkhart, IN
National Provider Identifier
1750389680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000110711 | Other | IN | ANTHEM BCBS# |
Other names 1
- Elkhart General Home Medical Equipment
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
- Elkhart County Health Department
- Elkhart Day Surgery, LLC
- Elkhart Dental Center PC
- Elkhart General Hospital Foundation, Inc.
- Elkhart General Hospital Inc
- Elkhart General Hospital Inc
- Elkhart General Hospital, Inc
- Elkhart General Hospital, Inc.
- Elkhart General Hospital, Inc.
- Elkhart General Hospital, Inc.
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.