<unavail> in Elkhart, IN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Elkhart, Indiana. The current practice location for is 148 W Hively Ave, Suite 1, Elkhart, Indiana. For appointments, you can reach them via phone at (574) 584-7373. The mailing address for is 236 Simpson Ave, Elkhart, Indiana and phone number is (574) 584-7373.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1295143774. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (574) 584-7373.

Contact Information


	148 W Hively Ave Suite 1 Elkhart IN 46517-2191
	(574) 584-7373
	(574) 970-3255

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	148 W Hively Ave, Elkhart, Indiana
Authorized Official Name and Position	Esleen E Fultz (CEO)
Authorized Official Contact	5749703257
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
236 Simpson Ave Elkhart IN 46516-4666 Ph: (574) 584-7373	148 W Hively Ave Suite 1 Elkhart IN 46517-2191 Ph: (574) 584-7373

NPI Details:

NPI Number	1295143774
Provider Enumeration Date	07/28/2014
Last Update Date	11/03/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	9931008380
Medicare Enrollment ID	O20141212000849

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295143774	NPI	-	NPPES
10097610A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Elkhart, 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
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 W Lexington Ave, Suite B, Elkhart, IN 46514 Phone: 574-296-3200 Fax: 574-296-3392
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 W Beardsley Ave, Elkhart, IN 46514 Phone: 773-697-3144
Beacon Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1506 Osolo Rd Ste C, Elkhart, IN 46514 Phone: 574-266-6050 Fax: 574-262-8485
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28070 County Road 24, Elkhart, IN 46517 Phone: 574-273-8053 Fax: 574-273-8056

- Medicare Primary Care in Elkhart, IN