Heart City Health Center, Inc.

LBN: Heart City Health Center, Inc.
Heart City Health Center, Inc. is an health care organization with primary practice located at 236 Simpson Ave , Elkhart IN 46516-4666. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Heart City Health Center, Inc. can be contacted via phone (574) 970-1435, or through Fultz, Esleen E via phone (574) 970-3257.

Contact Information

Primary practice address
236 Simpson Ave Elkhart IN 46516-4666
Phone: (574) 970-1435
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 / Community Health 261QC1500X Indiana

Profile Details

NPI number 1720033418
LBN Legal business name Heart City Health Center, Inc.
DBA Doing business as
Authorized official Fultz, Esleen E
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Aug 27th, 2019 - about 6 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 1720033418 NPPES
Indiana MEDICAID 100097610A

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