Heart City Health Center Scenic Health

LBN: Heart City Health Center, Inc.
Heart City Health Center Scenic Health is an health care organization with primary practice located at 148 W Hively Ave Suite 1, Elkhart IN 46517-2191. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Heart City Health Center, Inc. can be contacted via phone (574) 584-7373, or through Fultz, Esleen E via phone (574) 970-3257.

Contact Information

Primary practice address
148 W Hively Ave Suite 1 Elkhart IN 46517-2191
Phone: (574) 584-7373
Fax: (574) 970-3255
Website:
Map and Directions
Authorized official contact:
Name: Fultz, Esleen E
Phone: (574) 970-3257

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1295143774
LBN Legal business name Heart City Health Center, Inc.
DBA Doing business as Heart City Health Center Scenic Health
Authorized official Fultz, Esleen E
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 28th, 2014
Last updated Nov 3rd, 2023 - about 2 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 1295143774 NPPES
Indiana MEDICAID 10097610A

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