MEDICARE: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY

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
1	314000000X	Skilled Nursing Facility	04-000260-1	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750378147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY

Provider Business Mailing Address
First Line	:	4430 ELSDALE DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46835-2277
Country	:	US
Telephone Number	:	260-485-8157
Fax Number	:	260-486-9008

Provider Business Practice Location Address
First Line	:	4430 ELSDALE DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46835
Country	:	US
Telephone Number	:	260-485-8157
Fax Number	:	260-486-9008

Authorized Official
Title or Position	:	CFO OF ASC
Name	:	STEVE VAN CAMP
Credential	:	CPA
Telephone Number	:	317-788-2500

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	09/25/2020

Similar Medicare Providers

1194652750 — SAMANTHA J SWANN
Practice Location Address:

8255 GOLDEN GATE PL
FORT WAYNE, IN
46835-7710

Practice Phone: 260-446-1572
Practice Fax:

1003816943 — DR. MARTIN R. WHITE O.D.
Practice Location Address:

6110 MAPLECREST RD
FORT WAYNE, IN
46835-2524

Practice Phone: 260-486-8833
Practice Fax: 260-486-8784

1710975800 — MRS. MELISSA JEAN HARTMAN R.PH.
Practice Location Address:

4900 SAINT JOE RD , FORT WAYNE STATE DEVELOPMENTAL CENTER PHARMACY
FORT WAYNE, IN
46835-3275

Practice Phone: 260-969-1794
Practice Fax: 260-969-3879

1164410205 — DANIEL W. LOVELL R.PH.
Practice Location Address:

4900 SAINT JOE RD
FORT WAYNE, IN
46835-3275

Practice Phone: 260-969-1794
Practice Fax: 260-969-3879

1184615841 — DR. JOSHUA D KLINE M.D.
Practice Location Address:

5693 YMCA PARK DR W
FORT WAYNE, IN
46835-3280

Practice Phone: 260-469-6603
Practice Fax: 260-486-6123

1548232259 — LISA L YARGER CFNP
Practice Location Address:

5693 YMCA PARK DR W
FORT WAYNE, IN
46835-3280

Practice Phone: 260-425-6500
Practice Fax: 260-425-6505

Directions to “THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.