| Elkhart General Hospital, Inc. | |
|
600 East Blvd Elkhart IN 46514-2483 | |
| (574) 523-3200 | |
| (574) 523-3492 |
| Full Name | Elkhart General Hospital, Inc. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 600 East Blvd, Elkhart, Indiana |
| Authorized Official Name and Position | Jeffrey Costello (CFO) |
| Authorized Official Contact | 5746473460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elkhart General Hospital, Inc. 600 East Blvd Elkhart IN 46514-2483 Ph: (574) 294-2621 | Elkhart General Hospital, Inc. 600 East Blvd Elkhart IN 46514-2483 Ph: (574) 523-3200 |
| NPI Number | 1477551489 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Medicare PECOS PAC ID | 4688571169 |
|---|---|
| Medicare Enrollment ID | O20031213000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477551489 | NPI | - | NPPES |
| 100268340A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 05-005017-1 (Indiana) | Primary |
| Provider Name | Whitney L Gingerich |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548557119 PECOS PAC ID: 7719114339 Enrollment ID: I20131205000912 |
| Provider Name | Anouk Danielle Shelton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619644960 PECOS PAC ID: 7719382761 Enrollment ID: I20210830000877 |
| Provider Name | Ann Reidenbach |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114912482 PECOS PAC ID: 6002291127 Enrollment ID: I20220909001936 |
Psychological & Family Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 926 E Jackson Blvd, Elkhart, IN 46516 Phone: 574-522-6292 Fax: 574-522-0481 | |
Serenidad Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Waterfall Dr Ste D, Elkhart, IN 46516 Phone: 574-205-9560 Fax: 574-544-5960 | |
Arlen W. Epp Mdiv, Msw, Lcsw, Counseling And Coaching Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3040a Windsor Ct, Elkhart, IN 46514 Phone: 574-262-9305 Fax: 574-262-9516 | |
Bonhomie Counseling Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 W Lexington Ave, Suite 206, Elkhart, IN 46516 Phone: 574-293-5991 Fax: 574-293-5429 | |
Firm Foundation Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W Bristol St, Elkhart, IN 46514 Phone: 574-402-1400 | |
Terri Rumfelt Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1218 Clarinet Blvd E, Elkhart, IN 46516 Phone: 574-361-0421 | |
Lexington House Of Elkhart, In Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 Prairie St, Elkhart, IN 46517 Phone: 574-326-0846 |