NPI Code Details Logo

NPI 1275305344

NPI 1275305344 : PARKVIEW HOSPITAL, INC. : FORT WAYNE, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1275305344
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PARKVIEW HOSPITAL, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/23/2023
-----------------------------------------------------
    Last Update Date     |    10/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8202 GLENCARIN BLVD 
-----------------------------------------------------
    City                 |    FORT WAYNE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46804
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    260-425-4100
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1450 PRODUCTION RD 
-----------------------------------------------------
    City                 |    FORT WAYNE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46808-1167
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ACFO
-----------------------------------------------------
    Name                 |     STANTON  RISSER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    260-266-9380
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QU0200X
-----------------------------------------------------
    Taxonomy Name        |    Urgent Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QE0002X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    282N00000X
-----------------------------------------------------
    Taxonomy Name        |    General Acute Care Hospital
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.