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ELKHART COUNTY HEALTH DEPARTMENT NPI 1659596336


NPI Information

NPI: 1659596336
Provider Name: ELKHART COUNTY HEALTH DEPARTMENT

Other Name: HEALTHY BEGINNINGS

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1400 HUDSON STREET
ELKHART, IN
ZIP 46516
Phone: (574) 522-0104
Get Directions

ELKHART COUNTY HEALTH DEPARTMENT is a pediatric dentistry dentist in Elkhart, IN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ELKHART COUNTY HEALTH DEPARTMENT NPI is 1659596336. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Healthy Beginnings.

The provider's business location address is:

1400 HUDSON STREET
ELKHART, IN
ZIP 46516
Phone: (574) 522-0104
Fax: (574) 522-1902

The provider's authorized official is Diantha Hostetler .
The authorized official title is Clinical Manager and has the following contact phone number (574) 523-2136.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 4/3/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100112150AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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