HEART CITY HEALTH CENTER, INC. (NPI# 1861034688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861034688 |
Entity Type | Organization |
Organization Name | HEART CITY HEALTH CENTER, INC. |
Practice Address |
1545 Cassopolis Street Elkhart IN 46514 |
Mailing Address |
236 Simpson Avenue Elkhart IN 46516-4666 |
Practice Telephone | 5742930052 |
Practice Fax Number | 5742933744 |
Mailing Telephone | 5742930052 |
Mailing Fax Number | 5742931739 |
Enumeration Date | 2019-10-14 |
Last Update Date | 2019-10-14 |
Authorized Official Name | ESLEEN E FULTZ (CEO) |
Authorized Official Telephone | 5749703257 |
Is Organization Subpart | Y |
Parent Organization Name | HEART CITY HEALTH CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | PENDING | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811551211 | Heart City Health Center, Inc. | Dentist | 2100 Superior St, Elkhart, IN 46516-4704 | 2019-05-01 |
1295143774 | Heart City Health Center, Inc. | Clinic/Center | 148 W Hively Ave, Suite 1, Elkhart, IN 46517-2191 | 2014-07-28 |
1720033418 | Heart City Health Center, Inc. | Clinic/Center | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2006-05-23 |
Street Address |
1545 CASSOPOLIS STREET |
City | ELKHART |
State | IN |
Zip Code | 46514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
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 |
1528397643 | Martins Super Markets Inc | Pharmacy | 120 Sanford School Rd, Ste B, Elkhart, IN 46514 | 2009-12-19 |
Find all providers in zip 46514 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295143774 | Heart City Health Center, Inc. | Clinic/Center | 148 W Hively Ave, Suite 1, Elkhart, IN 46517-2191 | 2014-07-28 |
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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.