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 1545 Cassopolis Street , Elkhart IN 46514. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, 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) 293-0052, or through Fultz, Esleen E via phone (574) 970-3257.
Contact Information
Primary practice address
1545 Cassopolis Street
Elkhart IN 46514
Phone: (574) 293-0052
Fax: (574) 293-3744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1861034688 |
|---|---|
| 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 | Oct 14th, 2019 |
| Last updated | Oct 14th, 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 | 1861034688 | NPPES |
| Indiana | MEDICAID | PENDING |
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