NPIMap

Organization Active NPI

Elkhart General Hospital Inc

Doing business as Heart Clinic

  • Health Service Clinic/Center
  • Elkhart, IN
National Provider Identifier
1780915082
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
10-005017-1 Issued in IN
Legal business name
ELKHART GENERAL HOSPITAL INC
Doing business as
Heart Clinic
Practice address
600 East Blvd
Heart Clinic
Elkhart, IN 46514-2483
Phone
(574) 523-2750
Fax
(574) 389-4875
NPI assigned
Jan 26, 2010
Last updated
May 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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
Health Service Clinic/Center 261QH0100X 10-005017-1 IN Primary

Addresses

Primary practice location

600 East Blvd
Heart Clinic
Elkhart, IN 46514-2483

Mailing address

PO Box 660376
Indianapolis, IN 46266-0001
Phone (574) 523-3148

Other names 1

  • Heart Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

600 East Blvd
#3
Elkhart, IN 46514
Phone (574) 523-2750

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1780915082",
    "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",
            "address_2": "HEART CLINIC",
            "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": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-05-06",
        "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": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IN",
            "license": "10-005017-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Clinic",
            "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 May 6, 2010; 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.