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NPI Code Detail

MEDICARE: PARKVIEW HOSPITAL

MEDICARE: PARKVIEW HOSPITAL
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
1282N00000XGeneral Acute Care Hospital71001699AIN

General Provider Information

NPI Number : 1689784225
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARKVIEW HOSPITAL
Provider Business Mailing Address
First Line : 8718 SPRING FOREST DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-6441
Country : US
Telephone Number : 260-436-9546
Fax Number :
Provider Business Practice Location Address
First Line : 1600 E WASHINGTON BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46803-1228
Country : US
Telephone Number : 260-422-5561
Fax Number :
Authorized Official
Title or Position : FAMILY NURE PRACTITIONER
Name : MS. SUSAN DIANE OVERCASH
Credential : NURSE PRACTITIONER
Telephone Number : 260-422-5561
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/22/2020

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Directions to “PARKVIEW HOSPITAL ” Practice Location

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