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NPI Code Detail

MEDICARE: PARKVIEW WABASH HOSPITAL, INC.

MEDICARE: PARKVIEW WABASH HOSPITAL, 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
1275N00000XMedicare Defined Swing Bed Hospital Unit06-005094-1IN

General Provider Information

NPI Number : 1275552812
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKVIEW WABASH HOSPITAL, INC.
Provider Business Mailing Address
First Line : 10501 CORPORATE DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1700
Country : US
Telephone Number : 260-373-8406
Fax Number :
Provider Business Practice Location Address
First Line : 10 JOHN KISSINGER DR.
Second Line :
City : WABASH
State : IN
Zip : 46992-1648
Country : US
Telephone Number : 260-563-3131
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. STANTON RISSER
Credential :
Telephone Number : 260-266-9380
Provider Enumeration Date : 07/18/2006
Last Update Date : 04/01/2025

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