| Women's Center - Continence Clinic | |
|
600 East Blvd Women's Center - Continence Clinic Elkhart IN 46514-2483 | |
| (574) 523-2751 | |
| (574) 389-4840 |
| Full Name | Women's Center - Continence Clinic |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 600 East Blvd, Elkhart, Indiana |
| Authorized Official Name and Position | C. John Kraft (DIRECTOR OF MANAGED CARE) |
| Authorized Official Contact | 5745237914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Women's Center - Continence Clinic Po Box 1887 Elkhart General Physician Services Elkhart IN 46515-1887 Ph: (574) 389-0542 | Women's Center - Continence Clinic 600 East Blvd Women's Center - Continence Clinic Elkhart IN 46514-2483 Ph: (574) 523-2751 |
| NPI Number | 1891922332 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 06/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891922332 | NPI | - | NPPES |
| 100114000E | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 09-005017-1 (Indiana) | Primary |
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