Healthcare Provider Details

I. General information

NPI: 1578504031
Provider Name (Legal Business Name): WARSAW HEALTH SYSTEMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 N FIRST ST
PIERCETON IN
46562
US

IV. Provider business mailing address

13683 COLLECTIONS CENTER DR ATTN: KCH LOCKBOX
CHICAGO IL
60693
US

V. Phone/Fax

Practice location:
  • Phone: 574-267-3200
  • Fax:
Mailing address:
  • Phone: 574-267-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: REBECCA HURLEY
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 214-473-3993