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NPI Code Detail

MEDICARE: BOWEN HEALTH INC

MEDICARE: BOWEN HEALTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2261QP2300XPrimary Care Clinic/Center
3261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1023668183
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOWEN HEALTH INC
Provider Business Mailing Address
First Line : 2621 E JEFFERSON ST
Second Line :
City : WARSAW
State : IN
Zip : 46580-3880
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 E RUDISILL BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46806-1738
Country : US
Telephone Number : 800-342-5653
Fax Number :
Authorized Official
Title or Position : CFO
Name : JAY BAUMGARTNER
Credential :
Telephone Number : 574-267-7169
Provider Enumeration Date : 09/19/2019
Last Update Date : 10/29/2025

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