Provider Demographics
NPI:1811101223
Name:ELKHART COUNTY AUDITOR
Entity type:Organization
Organization Name:ELKHART COUNTY AUDITOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSTETLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:574-523-2136
Mailing Address - Street 1:608 OAKLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46516
Mailing Address - Country:US
Mailing Address - Phone:574-523-2105
Mailing Address - Fax:574-295-6186
Practice Address - Street 1:608 OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46516-2116
Practice Address - Country:US
Practice Address - Phone:574-523-2105
Practice Address - Fax:574-295-6186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01056323A251B00000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00077758OtherRAILROAD MEDICARE
IN200402040AMedicaid
P00077758OtherRAILROAD MEDICARE