ELKHART GENERAL HOSPITAL INC (NPI# 1043317415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043317415 |
| Entity Type | Organization |
| Organization Name | ELKHART GENERAL HOSPITAL INC |
| Other Organization Name | NEW DIRECTIONS WELLNESS CLINIC |
| Practice Address |
600 East Blvd Elkhart IN 46514-2483 |
| Mailing Address |
Po Box 660376 Indianapolis IN 46266-0001 |
| Practice Telephone | 5745232750 |
| Practice Fax Number | 5743894875 |
| Mailing Telephone | 5745233148 |
| Mailing Fax Number | 5745233492 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-12-03 |
| Authorized Official Name | MR. C. JOHN KRAFT JR. (DIRECTOR OF MANAGED CARE) |
| Authorized Official Telephone | 5745237914 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELKHART GENERAL HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
06-005017-1 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200450070A | 05 |
| Other Name | Type Code |
|---|---|
| New Directions Wellness Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528235140 | Elkhart General Hospital Inc | Clinic/Center | 1028 E Waterford St, Wakarusa, IN 46573-9305 | 2008-05-13 |
| 1750389680 | Elkhart General Hospital Inc | Durable Medical Equipment & Medical Supplies | 225 E Jackson Blvd, Elkhart, IN 46516-3543 | 2005-07-13 |
| 1780915082 | Elkhart General Hospital Inc | Clinic/Center | 600 East Blvd, Heart Clinic, Elkhart, IN 46514-2483 | 2010-01-26 |
| Street Address |
600 EAST BLVD |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253539 | Abuzafar M. Arif | Internal Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2005-05-23 |
| 1093316176 | Gabriel Lewis | Student in an Organized Health Care Education/Training Program | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-11-04 |
| 1003426701 | Jess Lufkin | Registered Nurse | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-08-06 |
| 1417570276 | Katherine Albright | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-05-27 |
| 1619590809 | Mary E Wendt | Dietitian, Registered | 600 East Blvd, Elkhart, IN 46514-2499 | 2020-05-21 |
| 1457970857 | Patricia Rose Dimarzio | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2499 | 2020-04-15 |
| 1043839004 | Darra Lynn Cover | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2499 | 2020-04-10 |
| 1518586510 | Amy Kehlenbeck Bell | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-04-10 |
| 1558980458 | Elizabeth Langton | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-04-10 |
| 1902425903 | Kevin Knaus | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2499 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1447619747 | Sanford Dermatology | Clinic/Center | 400 W Green Meadows Dr Ste 110, Greenfield, IN 46140-3205 | 2016-02-15 |
| 1306222757 | Midwest Wellness LLC | Clinic/Center | 6822 E 82nd St Ste 310, Indianapolis, IN 46250-1677 | 2015-08-08 |
| 1053657775 | Earthen Vessels Nurse Midwifery LLC | Clinic/Center | 251 Airport North Office Park, Fort Wayne, IN 46825-6702 | 2012-12-27 |
| 1861757023 | Integrative Therapeutics LLC | Clinic/Center | 11074 Woods Bay Ln, Indianapolis, IN 46236-9020 | 2012-07-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.