HEART CITY HEALTH CENTER PHARMACY NPI 1003802455

Clinic/Center (Community Health) in Elkhart, IN

Organization Clinic/Center Community Health

About HEART CITY HEALTH CENTER PHARMACY

Heart City Health Center Pharmacy is a provider established in Elkhart, Indiana specializing in clinic/center. The NPI number of Heart City Health Center Pharmacy is 1003802455 and was assigned on September 2005. The practitioner's primary taxonomy code is 261QC1500X with license number 60005127A (IN). The provider is registered as an organization and their NPI record was last updated 12 years ago.
The authorized official of this NPI record is Eugenio Edwardo Valdez (Qualifying Pharmacist)

NPI

1003802455

Provider NameHEART CITY HEALTH CENTER PHARMACY
Provider Location Address236 SIMPSON AVE ELKHART, IN 46516
Provider Mailing Address236 SIMPSON AVE ELKHART, IN 46516
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date09-21-2005
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code261QC1500X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationCommunity Health
License No.60005127A
License StateIN

Business Address

HEART CITY HEALTH CENTER PHARMACY
236 SIMPSON AVE
ELKHART, IN
ZIP 46516
Phone: (574) 970-1441
Fax: (574) 970-1449

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Mailing Address

HEART CITY HEALTH CENTER PHARMACY
236 SIMPSON AVE
ELKHART, IN
ZIP 46516
Phone: (574) 970-1441
Fax: (574) 970-1449

Authorized Official

Authorized Official Name EUGENIO EDWARDO VALDEZ
Authorized Official TitleQUALIFYING PHARMACIST
Authorized Official Phone(574) 970-1441

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033633656 LORRAINE DORIS SWARTZENTRUBER FNP
Individual
Nurse Practitioner (Family)236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052
1073681524 ESSAM A. MONTASIR M.D.
Individual
Internal Medicine236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052
1083156012 CARI BALMER
Individual
Nurse Practitioner (Family)236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052
1134214240DR. SHANNA VERMA KAUTZMANN M.D.
Individual
Pediatrics236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052
1184829715DR. ALISON RAE ROBERTSON D.D.S.
Individual
Dentist236 SIMPSON AVE
ELKHART, IN 46516
(574) 970-1937
1194093807MR. KENNETH SCOTT BETHEL RN, FNP
Individual
Nurse Practitioner (Family)236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052
1366504078DR. MICHELLE BRENDA BROWN D.D.S.
Individual
Dentist236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052
1437698271 ANGELINA THERESA PANFORD FNP-BC
Individual
Nurse Practitioner (Family)236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052
1447517172 MEENAKSHI GUPTA M.D.
Individual
Pediatrics236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052
1457631962MS. NICOLE LEIGH HARTMAN LCSW
Individual
Social Worker (Clinical)236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052
1508959545MR. DANIEL NORMAN KREAGER DDS
Individual
Dentist236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052
1528216942MRS. FABIOLA SEWELL CPHT
Individual
Pharmacy Technician236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-4052
1548251937 JAMES JACKSON D.O.
Individual
Family Medicine236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052
1548412000 CHRISTINE MAMPHEY DANKWA M.D., M.P.H
Individual
Pediatrics236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052
1629272703DR. STANLEY L CARR DDS
Individual
Dentist236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052
1720033418HEART CITY HEALTH CENTER, INC.
Organization
Clinic/Center (Community Health)236 SIMPSON AVE
ELKHART, IN 46516
(574) 970-1435
1720168461DR. DONALD CAMERON FINDLAY DDS
Individual
Dentist236 SIMPSON AVE
ELKHART, IN 46516
(574) 970-1937
1841379187DR. DWAYNE EDWARD JOHNSON M.D.
Individual
Pediatrics236 SIMPSON AVE
ELKHART, IN 46516
(574) 584-7373
1902371172 TRISHA LORAY THRASH RDH
Individual
Dental Hygienist236 SIMPSON AVE
ELKHART, IN 46516
(574) 970-1937
1902998073DR. ERIN ANN FARRELL MD
Individual
Pediatrics236 SIMPSON AVE
ELKHART, IN 46516
(574) 293-0052

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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