Elkhart General Out Patient Pharmacy

LBN: Elkhart General Hospital, Inc.
Elkhart General Out Patient Pharmacy is an health care organization with primary practice located at 600 East Blvd O/P Pharmacy, Elkhart IN 46514. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Elkhart General Hospital, Inc. can be contacted via phone (574) 523-3549, or through Costello, Jeffrey P via phone (574) 647-3460.

Contact Information

Primary practice address
600 East Blvd O/P Pharmacy Elkhart IN 46514
Phone: (574) 523-3549
Fax: (574) 523-7802
Website:
Map and Directions
Authorized official contact:
Name: Costello, Jeffrey P
Phone: (574) 647-3460

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 60004113A Indiana

Profile Details

NPI number 1134128705
LBN Legal business name Elkhart General Hospital, Inc.
DBA Doing business as Elkhart General Out Patient Pharmacy
Authorized official Costello, Jeffrey P
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 18th, 2005
Last updated Dec 1st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134128705 NPPES
Indiana MEDICAID 100295480A

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