Healthcare Provider Details

I. General information

NPI: 1720279326
Provider Name (Legal Business Name): INQUEST HEALTH SYSTEM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2007
Last Update Date: 11/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 W JEFFERSON BLVD SUITE 304
FORT WAYNE IN
46804-4128
US

IV. Provider business mailing address

7900 W JEFFERSON BLVD SUITE 304
FORT WAYNE IN
46804-4128
US

V. Phone/Fax

Practice location:
  • Phone: 260-969-6200
  • Fax: 260-969-6201
Mailing address:
  • Phone: 260-969-6200
  • Fax: 260-969-6201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM P HEDRICK
Title or Position: PRESIDENT
Credential: MD
Phone: 260-969-6200