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NPI 1821671272

NPI 1821671272 : PARKVIEW LOGANSPORT HOSPITAL, INC. : CAMDEN, IN

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General NPI Number Information
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    NPI Number           |    1821671272
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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     |    05/04/2021
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    Last Update Date     |    10/28/2025
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Provider Practice Location Address
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    Address Line         |    132 W MAIN ST 
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    City                 |    CAMDEN
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    State                |    IN
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    Zip                  |    46917-9997
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    Country              |    US
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    Telephone            |    574-686-2022
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    Fax                  |    574-686-2024
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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                  |    574-753-1528
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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        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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