QHG OF FORT WAYNE COMPANY LLC

FORT WAYNE, IN
NPI1619918026
Entity TypeOrganization
Authorized ContactKRISTINA MUSIC
Director, Provider Enrollment
615-465-7377
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2006-06-08
Last Update Date2024-10-01
Business Address
QHG OF FORT WAYNE COMPANY LLC
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6280
Phone number: 260-458-3843
Mailing Address
QHG OF FORT WAYNE COMPANY LLC
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone number: