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 2100 Superior St , Elkhart IN 46516-4704. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Heart City Health Center, Inc. can be contacted via phone (574) 970-1937, or through Fultz, Esleen E via phone (574) 970-3257.
Contact Information
Primary practice address
2100 Superior St
Elkhart IN 46516-4704
Phone: (574) 970-1937
Fax: (574) 970-1939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1811551211 |
|---|---|
| LBN Legal business name | Heart City Health Center, Inc. |
| DBA Doing business as | |
| Authorized official | Fultz, Esleen E |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 1st, 2019 |
| Last updated | May 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811551211 | NPPES |
| Indiana | MEDICAID | PENDING |
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