| |
500 Arcade Ave Ste 300 Elkhart IN 46514-2486 | |
(574) 389-7362 | |
(574) 389-5612 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 500 Arcade Ave Ste 300, Elkhart, Indiana |
Authorized Official Name and Position | Jeffrey P Costello (CFO) |
Authorized Official Contact | 5746473549 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3245 Health Dr Ste 100 Granger IN 46530-1380 Ph: (574) 647-1610 | 500 Arcade Ave Ste 300 Elkhart IN 46514-2486 Ph: (574) 389-7362 |
NPI Number | 1699794057 |
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Provider Enumeration Date | 07/18/2006 |
Last Update Date | 12/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699794057 | NPI | - | NPPES |
300054801 | Medicaid | IN | |
300042826 | Medicaid | IN | |
300098369 | Medicaid | IN | |
300098524 | Medicaid | IN |
Heart City Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-970-1441 Fax: 574-970-1449 | |
Elkhart Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3200 Fax: 574-296-3392 | |
Elkhart Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2117 W Lexington Ave, Elkhart, IN 46514 Phone: 574-296-3444 Fax: 574-296-3328 | |
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