MEDICARE: WARSAW HEALTH SYSTEM, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM2500X	Medical Specialty Clinic/Center
2	207Q00000X	Family Medicine Physician
3	363LF0000X	Family Nurse Practitioner
4	207R00000X	Internal Medicine Physician
5	208C00000X	Colon & Rectal Surgery Physician
6	207RH0003X	Hematology & Oncology Physician
7	208600000X	Surgery Physician
8	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1437199429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARSAW HEALTH SYSTEM, LLC

Provider Business Mailing Address
First Line	:	PO BOX 996
Second Line	:
City	:	WARSAW
State	:	IN
Zip	:	46581-0996
Country	:	US
Telephone Number	:	574-372-5823
Fax Number	:

Provider Business Practice Location Address
First Line	:	614 N MAIN ST
Second Line	:
City	:	NORTH WEBSTER
State	:	IN
Zip	:	46555-9364
Country	:	US
Telephone Number	:	574-372-5823
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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