NPIMap

Organization Active NPI

Elkhart General Hospital, Inc.

Doing business as Elkhart Cardiology Diagnostics

  • General Acute Care Hospital
  • Elkhart, IN
National Provider Identifier
1932402997
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10-005017-1 Issued in IN
Legal business name
ELKHART GENERAL HOSPITAL, INC.
Doing business as
Elkhart Cardiology Diagnostics
Practice address
303 S Nappanee St
Suite B
Elkhart, IN 46514-2066
Phone
(574) 296-3338
Fax
(574) 296-3332
NPI assigned
Dec 14, 2010
Last updated
Dec 1, 2022By 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 Dec 1, 2022

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

Authorized official

Name
Mr. Jeffrey Peter Costello
Title
Cfo
Phone
(574) 647-3460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 10-005017-1 IN Primary

Addresses

Primary practice location

303 S Nappanee St
Suite B
Elkhart, IN 46514-2066

Mailing address

615 N Michigan St
South Bend, IN 46601-1033
Phone (574) 647-1000

Other names 1

  • Elkhart Cardiology Diagnostics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elkhart General HSP Dba7 organizations share this tax ID, including this one
Part of
Elkhart General HSP Dba

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1932402997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011033",
            "telephone_number": "574-647-1000",
            "fax_number": "574-647-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S NAPPANEE ST",
            "address_2": "SUITE B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142066",
            "telephone_number": "574-296-3338",
            "fax_number": "574-296-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHART GENERAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELKHART GENERAL HOSPITAL, INC.",
        "enumeration_date": "2010-12-14",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "574-647-3460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "10-005017-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elkhart Cardiology Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elkhart Cardiology Diagnostics",
            "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 Dec 1, 2022; 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.