DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FAMILY CARE CENTER

MEDICARE: FAMILY CARE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2103G00000XClinical Neuropsychologist
3103T00000XPsychologist
41041C0700XClinical Social Worker
5106H00000XMarriage & Family Therapist
6101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407877657
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY CARE CENTER
Provider Business Mailing Address
First Line : 2821 HILLEGAS RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46808-3859
Country : US
Telephone Number : 260-471-1950
Fax Number : 260-471-1950
Provider Business Practice Location Address
First Line : 2821 HILLEGAS RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46808-3859
Country : US
Telephone Number : 260-471-1950
Fax Number : 260-471-1950
Authorized Official
Title or Position : OFFICE MANAGER
Name : CARLY R HAWKS
Credential :
Telephone Number : 260-471-1950
Provider Enumeration Date : 07/22/2006
Last Update Date : 08/26/2008

Similar Medicare Providers

1912897414 — KHIARA ROSALES
Practice Location Address:
2821 HILLEGAS RD
FORT WAYNE, IN
46808-3859
Practice Phone: 260-338-1241
Practice Fax:
1124036405 — MR. DENNIS LEE HOWARD MA
Practice Location Address:
2821 HILLEGAS RD
FORT WAYNE, IN
46808-3859
Practice Phone: 260-471-1950
Practice Fax: 260-471-1950
1205935392 — DR. JERRY EUGENE DAVIS PH.D.
Practice Location Address:
2821 HILLEGAS RD
FORT WAYNE, IN
46808-3859
Practice Phone: 260-471-1950
Practice Fax: 260-471-1950
1912095548 — DR. MARC W BARNES PH.D, CADAC IV
Practice Location Address:
2821 HILLEGAS RD
FORT WAYNE, IN
46808-3859
Practice Phone: 260-471-1950
Practice Fax: 260-471-1950
1952488702 — MRS. TERRIE LYNN WALKER MS
Practice Location Address:
2821 HILLEGAS RD
FORT WAYNE, IN
46808-3859
Practice Phone: 260-471-1950
Practice Fax:
1780737502 — DR. TIMOTHY ALLEN STEENBERGH PH.D.
Practice Location Address:
2821 HILLEGAS RD
FORT WAYNE, IN
46808-3859
Practice Phone: 260-471-1950
Practice Fax:

Directions to “FAMILY CARE CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.