Provider Demographics
NPI:1891746681
Name:CITY OF ELKHART
Entity type:Organization
Organization Name:CITY OF ELKHART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CUSTOMER & OFFICE SERVICES MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:APPLEWHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-294-5471
Mailing Address - Street 1:229 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46516-3112
Mailing Address - Country:US
Mailing Address - Phone:574-294-5471
Mailing Address - Fax:
Practice Address - Street 1:229 S 2ND ST
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46516-3112
Practice Address - Country:US
Practice Address - Phone:574-294-5471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance