MEDICARE: WARSAW HEALTH SYSTEMS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM1300X	Multi-Specialty Clinic/Center
2	207RH0000X	Hematology (Internal Medicine) Physician
3	207RH0003X	Hematology & Oncology Physician

General Provider Information

NPI Number	:	1235179474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARSAW HEALTH SYSTEMS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 996
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46581-0996
Country	:	US
Telephone Number	:	574-267-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 PROVIDENT DR
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46580-3291
Country	:	US
Telephone Number	:	574-267-3200
Fax Number	:

Authorized Official
Title or Position	:	SENIOR VICE PRESIDENT
Name	:	REBECCA HURLEY
Credential	:
Telephone Number	:	214-473-3993

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	09/11/2025

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