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General NPI Number Information
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NPI Number | 1215561576
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Entity Type | Organization
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Legal Business Name | PARKVIEW LOGANSPORT HOSPITAL, INC.
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1201 MICHIGAN AVE STE 270
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City | LOGANSPORT
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State | IN
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Zip | 46947-1530
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Country | US
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Telephone | 574-722-4921
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Fax | 574-739-0520
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Provider Business Mailing Address
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Address Line | 1101 MICHIGAN AVE
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City | LOGANSPORT
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State | IN
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Zip | 46947-1596
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Country | US
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Telephone | 574-753-1778
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Fax | 574-753-1359
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Authorized Official
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Title or Position | ACFO
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Name | STANTON RISSER
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Credential |
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Telephone | 260-266-9380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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